Individual provider Active NPI

Negash Haile Zewoldi, NURSE RN

  • Registered Nurse
  • Gahanna, OH
National Provider Identifier
1609184894
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
345299 Issued in OH
Practice address
5077 Gardenway CT
Gahanna, OH 43230-4063
Phone
(614) 948-2879
NPI assigned
Sep 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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 345299 OH Primary

Addresses

Primary practice location

5077 Gardenway CT
Gahanna, OH 43230-4063

Mailing address

5077 Gardenway CT
Gahanna, OH 43230
Phone (614) 948-2879

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
345299OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1609184894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5077 GARDENWAY CT",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-948-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5077 GARDENWAY CT",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304063",
            "telephone_number": "614-948-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEWOLDI",
        "first_name": "NEGASH",
        "middle_name": "HAILE",
        "credential": "NURSE RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "345299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.