Individual provider Active NPI

Christabel Ngwepegue Nyam, LNP

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1467974303
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
155255 Issued in OH
Practice address
4110 Long Acres Dr
Cincinnati, OH 45245
Phone
(513) 206-5142
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 155255 OH Primary

Addresses

Primary practice location

4110 Long Acres Dr
Cincinnati, OH 45245

Mailing address

4110 Long Acres Dr
Cincinnati, OH 45245-1640
Phone (513) 206-5142

Other names 1

  • Miss Christabel Ngwepegue Nyam Professional name

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
155255OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467974303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 LONG ACRES DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451640",
            "telephone_number": "513-206-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 LONG ACRES DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45245",
            "telephone_number": "513-206-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAM",
        "first_name": "CHRISTABEL",
        "middle_name": "NGWEPEGUE",
        "name_prefix": "Miss",
        "credential": "LNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "155255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTABEL",
            "last_name": "NYAM",
            "middle_name": "NGWEPEGUE",
            "prefix": "MISS",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.