Individual provider Active NPI

Nyaradzai Bianca Jason, LPN

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1972081479
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
126094IV Issued in OH
Practice address
5552 Little Flower Ave
Cincinnati, OH 45239-6808
Phone
(513) 919-9956
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 126094IV OH Primary

Addresses

Primary practice location

5552 Little Flower Ave
Cincinnati, OH 45239-6808

Mailing address

5552 Little Flower Ave
Cincinnati, OH 45239-6808
Phone (513) 919-9956

Other names 1

  • Nyaradzai Bianca Jason Former name

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
126094IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1972081479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 LITTLE FLOWER AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396808",
            "telephone_number": "513-919-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 LITTLE FLOWER AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396808",
            "telephone_number": "513-919-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASON",
        "first_name": "NYARADZAI",
        "middle_name": "BIANCA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "126094IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYARADZAI",
            "last_name": "JASON",
            "middle_name": "BIANCA",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.