Individual provider Active NPI

Edna Opong-Mensah, RN

  • Case Management Registered Nurse
  • Hercules, CA
National Provider Identifier
1912639766
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
708447 Issued in CA
Practice address
109 Thistle CT
Hercules, CA 94547-1231
Phone
(510) 734-3740
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 708447 CA Primary

Addresses

Primary practice location

109 Thistle CT
Hercules, CA 94547-1231

Mailing address

109 Thistle CT
Hercules, CA 94547-1231
Phone (510) 734-3740

Other practice location 1

109 Thistle Ct
Hercules, CA 94547-1231
Phone (510) 734-3740

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
708447CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1912639766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 THISTLE CT",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471231",
            "telephone_number": "510-734-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 THISTLE CT",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471231",
            "telephone_number": "510-734-3740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Thistle Ct",
            "address_purpose": "LOCATION",
            "city": "Hercules",
            "state": "CA",
            "postal_code": "945471231",
            "country_code": "US",
            "telephone_number": "510-734-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPONG-MENSAH",
        "first_name": "EDNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "708447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hercules, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.