Vivien Anwuli Ijomah, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

731760 Issued in TX

Practice address

1590 Mahogany Dr
Allen, TX 75002-0946

Phone

(469) 879-2707

NPI assigned

Sep 5, 2015

Last updated

Sep 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441411200000",
    "number": "1710355839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 MAHOGANY DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750020946",
            "telephone_number": "469-879-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 MAHOGANY DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750020946",
            "telephone_number": "469-879-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJOMAH",
        "first_name": "VIVIEN",
        "middle_name": "ANWULI",
        "credential": "REGISTERED  NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-05",
        "last_updated": "2015-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "731760",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "731760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Allen, TX
• Providers in Allen, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2015; 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.