Individual provider Active NPI

Joyce Omyia Loedum, LVN

  • Licensed Practical Nurse
  • Carrollton, TX
National Provider Identifier
1881941383
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
225528 Issued in VA
Practice address
1330 Mac Arthur Dr
#2719
Carrollton, TX 75007-4464
Phone
(972) 201-4968
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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 225528 VA Primary

Addresses

Primary practice location

1330 Mac Arthur Dr
#2719
Carrollton, TX 75007-4464

Mailing address

1330 Mac Arthur Dr
#2719
Carrollton, TX 75007-4464
Phone (972) 201-4968

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
225528VAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1881941383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 MAC ARTHUR DR",
            "address_2": "#2719",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074464",
            "telephone_number": "972-201-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MAC ARTHUR DR",
            "address_2": "#2719",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074464",
            "telephone_number": "972-201-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMYIA LOEDUM",
        "first_name": "JOYCE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "225528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.