Individual provider Active NPI

Edna O Isiorho, RN, APN

  • Registered Nurse
  • Fort Wayne, IN
National Provider Identifier
1912226200
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28142963A Issued in IN
Practice address
519 Oxford St
Fort Wayne, IN 46806-4177
Phone
(260) 745-5161
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28142963A IN Primary
Administrator Registered Nurse 163WA2000X 28142963A IN
Case Management Registered Nurse 163WC0400X 28142963A IN
Home Health Registered Nurse 163WH0200X 28142963A IN

Addresses

Primary practice location

519 Oxford St
Fort Wayne, IN 46806-4177

Mailing address

519 Oxford St
Fort Wayne, IN 46806-4177
Phone (260) 745-5161

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28142963AINMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1912226200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 OXFORD ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468064177",
            "telephone_number": "260-745-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 OXFORD ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468064177",
            "telephone_number": "260-745-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIORHO",
        "first_name": "EDNA",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "RN, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28142963A",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IN",
            "license": "28142963A",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IN",
            "license": "28142963A",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IN",
            "license": "28142963A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.