Individual provider Active NPI

Olumide Adegbehingbe

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1396987897
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN133941 Issued in OH
Practice address
4690 Castlebrook Dr
Columbus, OH 43229-6507
Phone
(614) 825-4988
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN133941 OH Primary

Addresses

Primary practice location

4690 Castlebrook Dr
Columbus, OH 43229-6507

Mailing address

4690 Castlebrook Dr
Columbus, OH 43229-6507
Phone (614) 825-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN133941OHMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1396987897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 CASTLEBROOK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296507",
            "telephone_number": "614-825-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 CASTLEBROOK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296507",
            "telephone_number": "614-825-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGBEHINGBE",
        "first_name": "OLUMIDE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN133941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.