Individual provider Active NPI

Anastasie Weladji Nguekam

  • Licensed Practical Nurse
  • Hamilton, OH
National Provider Identifier
1407287006
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 153189-M-IV Issued in OH
Practice address
20 Forest Park Dr Apt D
Hamilton, OH 45011-0823
Phone
(513) 805-2782
NPI assigned
Dec 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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 PN 153189-M-IV OH Primary

Addresses

Primary practice location

20 Forest Park Dr Apt D
Hamilton, OH 45011-0823

Mailing address

20 Forest Park Dr Apt D
Hamilton, OH 45011-0823
Phone (513) 805-2782

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
PN 153189-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1407287006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FOREST PARK DR APT D",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450110823",
            "telephone_number": "513-805-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOREST PARK DR APT D",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450110823",
            "telephone_number": "513-805-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUEKAM",
        "first_name": "ANASTASIE",
        "middle_name": "WELADJI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 153189-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.