Active NPI
Mary Nduaguba, PH.D.
- Administrator Registered Nurse
- Reynoldsburg, OH
National Provider Identifier
1407154065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN. 121600
- Practice address
- 6543 E Main St
Suite a
Reynoldsburg, OH 43068-2429 - Phone
- (614) 937-3794
- NPI assigned
- Mar 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN. 121600 | OH | Primary |
Addresses
Primary practice location
6543 E Main St
Suite a
Reynoldsburg, OH 43068-2429
Mailing address
6543 E Main St.
Suite a
Reynoldsburg, OH 43068-2429
Phone (614) 937-3794
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN. 121600 | OH | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozioma LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299456000000",
"number": "1407154065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6543 E MAIN ST.",
"address_2": "SUITE A",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430682429",
"telephone_number": "614-937-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6543 E MAIN ST",
"address_2": "SUITE A",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430682429",
"telephone_number": "614-937-3794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDUAGUBA",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-07",
"last_updated": "2011-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "OH",
"license": "RN. 121600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.