Individual provider Active NPI

Canicia Mejume Nkemcha

  • Registered Nurse
  • Columbus, OH
National Provider Identifier
1639923733
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.497863 Issued in OH
Practice address
5815 Millbank Rd Apt a
Columbus, OH 43229-4149
Phone
(803) 318-7427
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 RN.497863 OH Primary

Addresses

Primary practice location

5815 Millbank Rd Apt a
Columbus, OH 43229-4149

Mailing address

5815 Millbank Rd Apt a
Columbus, OH 43229-4149
Phone (803) 318-7427

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
RN.497863OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1639923733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 MILLBANK RD APT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294149",
            "telephone_number": "803-318-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 MILLBANK RD APT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294149",
            "telephone_number": "803-318-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKEMCHA",
        "first_name": "CANICIA",
        "middle_name": "MEJUME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.497863",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 15, 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.