Individual provider Active NPI

Yvonne Nkafu Fomenky, CNP, RHIA, RN

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1568437648
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15966-NP Issued in OH
Practice address
2336 Minerva Park PL
Columbus, OH 43229-4770
Phone
(614) 946-3022
Fax
(614) 392-1083
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN289586 OH
Family Nurse Practitioner 363LF0000X COA.15966-NP OH Primary

Addresses

Primary practice location

2336 Minerva Park PL
Columbus, OH 43229-4770

Mailing address

2336 Minerva Park PL
Columbus, OH 43229-4770
Phone (614) 946-3022

Other identifiers 1

IdentifierTypeStateIssuer
2300209MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150420001740 OH Practitioner - Nurse Practitioner 8426376617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN289586OHMDRegistered Nurse
COA.15966-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Feb 22, 2025 Accepting new patients

Locations

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1568437648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 MINERVA PARK PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294770",
            "telephone_number": "614-946-3022",
            "fax_number": "614-392-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 MINERVA PARK PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294770",
            "telephone_number": "614-946-3022",
            "fax_number": "614-392-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMENKY",
        "first_name": "YVONNE",
        "middle_name": "NKAFU",
        "credential": "CNP, RHIA, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN289586",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15966-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2300209",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.