Luladey Demissie Muluwork

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

132787 Issued in OH

Practice address

83 Rocky Creek Dr
Gahanna, OH 43230-2687

Phone

(614) 537-5551

NPI assigned

Feb 1, 2009

Last updated

Feb 1, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233446400000",
    "number": "1528206398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ROCKY CREEK DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302687",
            "telephone_number": "614-537-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ROCKY CREEK DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302687",
            "telephone_number": "614-537-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUWORK",
        "first_name": "LULADEY",
        "middle_name": "DEMISSIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-01",
        "last_updated": "2009-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "132787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; 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.