Individual provider Active NPI

Ayola Rachele Ngqakayi

  • Licensed Practical Nurse
  • Yellow Springs, OH
National Provider Identifier
1740585686
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.142838-M-IV Issued in OH
Practice address
590 W Limestone St
Apt. W
Yellow Springs, OH 45387-1771
Phone
(937) 767-0301
NPI assigned
Jan 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.142838-M-IV OH Primary

Addresses

Primary practice location

590 W Limestone St
Apt. W
Yellow Springs, OH 45387-1771

Mailing address

590 W. Limestone Street
Apt. W
Yellow Springs, OH 45387-1722
Phone (937) 767-0301

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

LicenseStateTypeSpecialty
PN.142838-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1740585686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W. LIMESTONE STREET",
            "address_2": "APT. W",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871722",
            "telephone_number": "937-767-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W LIMESTONE ST",
            "address_2": "APT. W",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871771",
            "telephone_number": "937-767-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGQAKAYI",
        "first_name": "AYOLA",
        "middle_name": "RACHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.142838-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yellow Springs, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.