Magdalene Noubissie White Jr., L P N

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

PN145198MEDS Issued in OH

Practice address

2423 Greenview Dr
Uniontown, OH 44685-7886

Phone

(713) 927-0693

NPI assigned

Aug 4, 2011

Last updated

Aug 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Miss Magdalene Noubissie Siewe Jr. Former name

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1750660056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 GREENVIEW DR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857886",
            "telephone_number": "713-927-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 GREENVIEW DR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857886",
            "telephone_number": "713-927-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MAGDALENE",
        "middle_name": "NOUBISSIE",
        "name_prefix": "Miss",
        "name_suffix": "Jr.",
        "credential": "L P N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401116570",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN145198MEDS",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OH",
            "license": "PN145198MEDS",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "VA",
            "license": "0002077340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALENE",
            "last_name": "SIEWE",
            "middle_name": "NOUBISSIE",
            "prefix": "MISS",
            "suffix": "JR.",
            "credential": "C N A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Licensed Vocational Nurse in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Licensed Vocational Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.