Victor Nkem

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

249812 Issued in AZ

Practice address

18427 N 33Rd Ave
Phoenix, AZ 85053-1050

Phone

(843) 424-7508

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Serenitybehavioralhealth.LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1972149078
  NPD Authorized official
• A Beautiful Shade LLC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1215532619
  NPD
• Sierrabehavioralhealth.LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1184224446
  NPD
• Sierrabehavioralhealth.LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1447710652
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1780289561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 W WASHINGTON ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531351",
            "telephone_number": "520-302-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18427 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850531050",
            "telephone_number": "843-424-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15202 N Flamenco Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850534872",
            "country_code": "US",
            "telephone_number": "843-424-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKEM",
        "first_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "249812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447710652",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972149078",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aline Amisi Njiraini, FNP
• Maureen Njoroge
• Titus Waititu Njuguna, CERTIFIED CAREGIVER,
• NK Speech Therapy and Behavior Support PLLC
• Nkare Services PC
• Bariduanen Bright Nkol, FNP
• Desire Ntajonjora Nkomezi
• Bertie Faye Nkosi
• Rhia Clemente Nkulu, RN
• Gakunzi Nkundimana

• Nurse's Aide in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse's Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.