Etohn Nimene

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN091164 Issued in GA

Practice address

3034 Meadow Church Rd
Suwanee, GA 30024-3678

Phone

(678) 478-5842

NPI assigned

Jul 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1972987683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 MEADOW CHURCH RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243678",
            "telephone_number": "678-478-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 MEADOW CHURCH RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243678",
            "telephone_number": "678-478-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMENE",
        "first_name": "ETOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "E1946723",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN091164",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "323645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nga Thi Thuy Nguyen, NP
• Rosy Hong Nhung Nguyen
• Trang Thuy Nguyen
• Tuyet Nhi Tran Nguyen
• Nicole Patterson, LLC
• Susan M Nissley, DDS
• Tina Marie Niziurski, LCSW
• Tianna Nobles, RBT
• Carrie Smith Nold, PA-C
• Aileen M Norden, M.D.

• Licensed Practical Nurse in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.