Komi Kpogli, RN

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

APRN.CNS.019314 Issued in OH

Practice address

124 Urich Dr
Pickerington, OH 43147-7833

Phone

(859) 457-0032

NPI assigned

Sep 21, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• First Home Health Care LLC

  • Home Health Agency
  • Pickerington, OH
  • NPI 1972147064
  NPD (past) Authorized official

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1700169117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 URICH DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477833",
            "telephone_number": "859-457-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 URICH DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477833",
            "telephone_number": "859-457-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPOGLI",
        "first_name": "KOMI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "316816",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "APRN.CNS.019314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koiros Health Care Services, LLC
• Logan Alan Konst
• Angela Obo Koranteng, RN,BSN,ADHS
• Fatima Binta Koroma
• Shawn Christopher Koser, CNP
• Callie Kraft
• Brenda Kritzwiser
• Kevin Kruchan
• Gabrielle Leigh Krueger, APRN
• Kula Yoga and Wellness

• Gerontology Clinical Nurse Specialist in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Gerontology Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.