Individual provider Active NPI

Lyveen S Kaboi

  • Licensed Practical Nurse
  • Liberty TWP, OH
National Provider Identifier
1508604372
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
118369 Issued in OH
Practice address
5607 Creekside Meadows Dr
Liberty TWP, OH 45011-0755
Phone
(513) 816-6363
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 118369 OH Primary

Addresses

Primary practice location

5607 Creekside Meadows Dr
Liberty TWP, OH 45011-0755

Mailing address

5607 Creekside Meadows Dr
Liberty TWP, OH 45011-0755
Phone (513) 816-6363

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
118369OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1508604372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 CREEKSIDE MEADOWS DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450110755",
            "telephone_number": "513-816-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 CREEKSIDE MEADOWS DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450110755",
            "telephone_number": "513-816-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABOI",
        "first_name": "LYVEEN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "118369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.