Individual provider Active NPI

Usman M Mbah, LPN

  • Licensed Practical Nurse
  • Richmond, TX
National Provider Identifier
1487984381
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
138622 Issued in OH
Practice address
22807 Spellbrook Bend LN
Richmond, TX 77407-6397
Phone
(513) 307-7700
Fax
(513) 332-9050
NPI assigned
Dec 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 138622 OH Primary

Addresses

Primary practice location

22807 Spellbrook Bend LN
Richmond, TX 77407-6397

Mailing address

22807 Spellbrook Bend LN
Richmond, TX 77407-6397
Phone (513) 307-7700

Other practice location 1

5658 Colerain Ave
Cincinnati, OH 45239-6746
Phone (513) 307-7700

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
138622OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trustway Healthcare LLC CurrentSince Feb 2, 2025 Accepting new patients
Ohio Community Support LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1487984381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22807 SPELLBROOK BEND LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076397",
            "telephone_number": "513-307-7700",
            "fax_number": "513-332-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22807 SPELLBROOK BEND LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076397",
            "telephone_number": "513-307-7700",
            "fax_number": "513-332-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5658 Colerain Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452396746",
            "country_code": "US",
            "telephone_number": "513-307-7700",
            "fax_number": "513-332-9050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBAH",
        "first_name": "USMAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "138622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.