Active NPI
Juliana Ofeibea Oppong, LPN
- Adult Companion
- Blacklick, OH
National Provider Identifier
1700123205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 146398
- Practice address
- 7880 Waggoner Trace Dr
7880 Waggoner Trace Dr
Blacklick, OH 43004-7182 - Phone
- (614) 476-8986
- NPI assigned
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 146398 | OH | Primary |
Addresses
Primary practice location
7880 Waggoner Trace Dr
7880 Waggoner Trace Dr
Blacklick, OH 43004-7182
Mailing address
7880 Waggoner Trace Dr
7880 Waggoner Trace Dr
Blacklick, OH 43004-7182
Phone (614) 476-8986
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146398 | OH | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1700123205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7880 WAGGONER TRACE DR",
"address_2": "7880 WAGGONER TRACE DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430047182",
"telephone_number": "614-476-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7880 WAGGONER TRACE DR",
"address_2": "7880 WAGGONER TRACE DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430047182",
"telephone_number": "614-476-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFEIBEA OPPONG",
"first_name": "JULIANA",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "OH",
"license": "146398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.