Individual provider Active NPI

Puspa L Siwakoti, LPN

  • Licensed Practical Nurse
  • Circleville, OH
National Provider Identifier
1417765280
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.182184.MEDS Issued in OH
Practice address
24865 US Highway 23 S Ste a
Circleville, OH 43113-9189
Phone
(614) 314-7516
NPI assigned
Dec 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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 LPN.182184.MEDS OH Primary

Addresses

Primary practice location

24865 US Highway 23 S Ste a
Circleville, OH 43113-9189

Mailing address

24865 US Highway 23 S Ste a
Circleville, OH 43113-9189
Phone (614) 314-7516

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
LPN.182184.MEDSOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1417765280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24865 US HIGHWAY 23 S STE A",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139189",
            "telephone_number": "614-314-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24865 US HIGHWAY 23 S STE A",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139189",
            "telephone_number": "614-314-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIWAKOTI",
        "first_name": "PUSPA",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.182184.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.