Isaac Yufanyi Fombuh, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2275037 Issued in MA

Practice address

14 Marcia Bliss Way
Taunton, MA 02780-6712

Phone

(774) 266-2026

NPI assigned

Jan 31, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1922639665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARCIA BLISS WAY",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MARCIA BLISS WAY",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806712",
            "telephone_number": "774-266-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMBUH",
        "first_name": "ISAAC",
        "middle_name": "YUFANYI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2275037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ifombuh@gmail.com",
            "affiliation": "N",
            "address_1": "14 Marcia Bliss Way",
            "city": "Taunton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027806712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Nurse in Taunton, MA
• Providers in Taunton, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.