Individual provider Active NPI

Ondine Ngwashi Ngossa Konteh, FNP-BC

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1669725917
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA13807-NP Issued in OH
Practice address
1500 E 17TH Ave
Columbus, OH 43219-1002
Phone
(614) 645-2700
Fax
(614) 645-2727
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA13807-NP OH Primary

Addresses

Primary practice location

1500 E 17TH Ave
Columbus, OH 43219-1002

Mailing address

1500 E 17TH Ave
Columbus, OH 43219-1002
Phone (614) 645-2700

Other practice location 1

3781 S High St
Columbus, OH 43207-4011
Phone (614) 645-3163

Other identifiers 1

IdentifierTypeStateIssuer
0097359MedicaidOH

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
I20140304001180 OH Practitioner - Nurse Practitioner 7214167683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA13807-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Occupational Health Clinics, LLC CurrentSince Jan 4, 2015 Accepting new patients

Locations

1835 E High St
Ste 2
Springfield, OH 45505
Phone (937) 322-8977

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": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1669725917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 17TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191002",
            "telephone_number": "614-645-2700",
            "fax_number": "614-645-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 17TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191002",
            "telephone_number": "614-645-2700",
            "fax_number": "614-645-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3781 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432074011",
            "country_code": "US",
            "telephone_number": "614-645-3163",
            "fax_number": "614-645-5893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONTEH",
        "first_name": "ONDINE NGWASHI",
        "middle_name": "NGOSSA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA13807-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097359",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.