Agnes N Sevume-Luswata, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

299097 Issued in OH

Practice address

2685 John Jacob CT
Fairfield, OH 45011-1018

Phone

(513) 894-8394

Fax

(513) 894-8394

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487796702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 JOHN JACOB CT",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450111018",
            "telephone_number": "513-894-8394",
            "fax_number": "513-894-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 JOHN JACOB CT",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450111018",
            "telephone_number": "513-894-8394",
            "fax_number": "513-894-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVUME-LUSWATA",
        "first_name": "AGNES",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "299097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "299097",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2552894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.