Individual provider Active NPI

Adefoluke Adenike Odigie, LPN

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1891983409
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 125695 Issued in OH
Practice address
4683 Ascot Dr
Columbus, OH 43229-5776
Phone
(614) 840-9091
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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 125695 OH Primary

Addresses

Primary practice location

4683 Ascot Dr
Columbus, OH 43229-5776

Mailing address

4683 Ascot Dr
Columbus, OH 43229-5776
Phone (614) 840-9091

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 125695OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1891983409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4683 ASCOT DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295776",
            "telephone_number": "614-840-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4683 ASCOT DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295776",
            "telephone_number": "614-840-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIGIE",
        "first_name": "ADEFOLUKE",
        "middle_name": "ADENIKE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 125695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.