Individual provider Active NPI

Brenda Chinonso Uzomba I, NURSE AIDE

  • Nurse's Aide
  • Columbus, OH
National Provider Identifier
1548563232
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401087780510 Issued in OH
Practice address
2946 Barclay SQ N
Columbus, OH 43209-3818
Phone
(614) 569-1236
NPI assigned
Dec 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 401087780510 OH Primary

Addresses

Primary practice location

2946 Barclay SQ N
Columbus, OH 43209-3818

Mailing address

2946 Barclay SQ N
Columbus, OH 43209-3818
Phone (614) 569-1236

Other identifiers 1

IdentifierTypeStateIssuer
3079207MedicaidOH

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
401087780510OHMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Immaculate Homehealth Care Services LLC Current Accepting new patients

Organizations & group practices 1

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": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1548563232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 BARCLAY SQ N",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432093818",
            "telephone_number": "614-569-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 BARCLAY SQ N",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432093818",
            "telephone_number": "614-569-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOMBA",
        "first_name": "BRENDA",
        "middle_name": "CHINONSO",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "NURSE AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401087780510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.