Individual provider Active NPI

Nneka U Kanu

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1952785446
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
317592 Issued in NY
Practice address
1977 Clinton Ave
Apt 2
Bronx, NY 10457-5028
Phone
(917) 982-5978
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 317592 NY Primary
Licensed Practical Nurse 164W00000X 26NP07050600 NJ

Addresses

Primary practice location

1977 Clinton Ave
Apt 2
Bronx, NY 10457-5028

Mailing address

1977 Clinton Ave
Apt 2
Bronx, NY 10457-5028
Phone (917) 982-5978

Other identifiers 2

IdentifierTypeStateIssuer
317592OtherNYTHE UNIVERSITY OF THE STATE OF NEWYORK EDUCATION DEPARTMENT
26NP07050600OtherNJNEWJERSEY OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS

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
26NP07050600NJMDLicensed Practical Nurse
317592NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1952785446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 CLINTON AVE",
            "address_2": "APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575028",
            "telephone_number": "917-982-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 CLINTON AVE",
            "address_2": "APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575028",
            "telephone_number": "917-982-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANU",
        "first_name": "NNEKA",
        "middle_name": "U",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317592",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP07050600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEWYORK EDUCATION DEPARTMENT",
            "identifier": "317592",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEWJERSEY OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS",
            "identifier": "26NP07050600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.