Diana Nchamukong

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703106356 Issued in MI

Practice address

27034 Sprucewood Dr Apt 102
Wixom, MI 48393-3275

Phone

(248) 790-5926

NPI assigned

Jun 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1437562840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27034 SPRUCEWOOD DR APT 102",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "48393",
            "telephone_number": "248-790-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27034 SPRUCEWOOD DR APT 102",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933275",
            "telephone_number": "248-790-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NCHAMUKONG",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703106356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mogan, LMSW
• Fabiola Gutierrez-Arroyo Mohney
• James Ross Muldoon, D.C.
• Molly Anne Murphy
• Catherine Nchamukong
• Timothy John Needham, AU.D.
• Debra Ann Neirinck, LMT, OMT
• Chris A Niedzinski, D.C.
• Oakland Primary Health Services
• Maureen Ogbu

• Licensed Practical Nurse in Wixom, MI
• Providers in Wixom, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.