Active NPI
Ajuseh Nkeng Fortaboh, LPN
- Licensed Practical Nurse
- Dublin, OH
National Provider Identifier
1730416942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN-136989-IV
- Practice address
- 7758 Deercrest CT
Dublin, OH 43016-9280 - Phone
- (614) 515-9284
- NPI assigned
- Nov 9, 2009
- Last updated
- Jul 2, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-136989-IV | OH | Primary |
Addresses
Primary practice location
7758 Deercrest CT
Dublin, OH 43016-9280
Mailing address
507 Alta View Village CT
Worthington, OH 43085-5900
Phone (614) 515-9284
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 |
|---|---|---|---|
| PN-136989-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanguine Health Solutions, LLC | Current | Accepting new patients | |
| Fortabs Health Care LLC | Current | Accepting new patients | |
| Quantive Health Group LLC | Current | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Worthington, OH
- NPI 1588535652
-
- Home Health Clinical Nurse Specialist
- Kennewick, WA
- NPI 1386579654
-
- Home Health Aide
- Kennewick, WA
- NPI 1205755196
-
- Home Health Agency
- Kennewick, WA
- NPI 1225958754
-
- Psychiatry Physician
- Worthington, OH
- NPI 1295664944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1730416942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 ALTA VIEW VILLAGE CT",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430855900",
"telephone_number": "614-515-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7758 DEERCREST CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430169280",
"telephone_number": "614-515-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTABOH",
"first_name": "AJUSEH",
"middle_name": "NKENG",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN-136989-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.