Individual provider Active NPI

Ladywinnie Amoo Oulanyah, HIM

  • Nursing Home Administrator
  • Tucson, AZ
National Provider Identifier
1841742806
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Practice address
3230 N Craycroft Rd Apt 1
Tucson, AZ 85712-5246
Phone
(619) 578-8416
NPI assigned
Oct 25, 2016
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X AZ Primary

Addresses

Primary practice location

3230 N Craycroft Rd Apt 1
Tucson, AZ 85712-5246

Mailing address

8261 E Kenyon Dr
Tucson, AZ 85710-4273
Phone (619) 578-8416

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

Practice roles

OrganizationSpecialtyStatusNew patients
P'Okot LLC CurrentSince Jul 31, 2023 Accepting new patients
P'Okot LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1841742806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8261 E KENYON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104273",
            "telephone_number": "619-578-8416",
            "fax_number": "520-844-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 N CRAYCROFT RD APT 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125246",
            "telephone_number": "619-578-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OULANYAH",
        "first_name": "LADYWINNIE",
        "middle_name": "AMOO",
        "credential": "HIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.