Individual provider Active NPI

Favour Grace Nganje

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1427468040
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
155987 Issued in OH
Practice address
4076 Elaine CT
Columbus, OH 43227-5602
Phone
(614) 735-1746
NPI assigned
May 5, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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 155987 OH Primary

Addresses

Primary practice location

4076 Elaine CT
Columbus, OH 43227-5602

Mailing address

4076 Elaine CT
Columbus, OH 43227-5602
Phone (614) 735-1746

Other identifiers 1

IdentifierTypeStateIssuer
3049418OtherOHMEDICARE, INDEPENDENT PROVIDER

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
155987OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1427468040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 ELAINE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432275602",
            "telephone_number": "614-735-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 ELAINE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432275602",
            "telephone_number": "614-735-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGANJE",
        "first_name": "FAVOUR",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "155987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, INDEPENDENT PROVIDER",
            "identifier": "3049418",
            "state": "OH"
        }
    ],
    "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 Sep 25, 2014; 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.