Individual provider Active NPI

Umoh Nseobong Udoh, RN

  • Registered Nurse
  • Cincinnati, OH
National Provider Identifier
1508164708
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN288793 Issued in OH
Practice address
636 Northland Blvd Ste 115
Cincinnati, OH 45240-3221
Phone
(513) 288-5571
Fax
(513) 742-1511
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN288793 OH Primary

Addresses

Primary practice location

636 Northland Blvd Ste 115
Cincinnati, OH 45240-3221

Mailing address

636 Northland Blvd Suite 115
Cincinnati, OH 45240
Phone (513) 288-5571

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN288793OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1508164708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 NORTHLAND BLVD SUITE 115",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45240",
            "telephone_number": "513-288-5571",
            "fax_number": "513-742-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 NORTHLAND BLVD STE 115",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403221",
            "telephone_number": "513-288-5571",
            "fax_number": "513-742-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOH",
        "first_name": "UMOH",
        "middle_name": "NSEOBONG",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN288793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 21, 2011; 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.