Active NPI
Nneka U Kanu
- Licensed Practical Nurse
- Bronx, NY
National Provider Identifier
1952785446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 317592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317592 | Other | NY | THE UNIVERSITY OF THE STATE OF NEWYORK EDUCATION DEPARTMENT |
| 26NP07050600 | Other | NJ | NEWJERSEY 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NP07050600 | NJ | MD | Licensed Practical Nurse |
| 317592 | NY | MD | Licensed 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.