Individual provider Active NPI

Desmond Kpobi, LPN

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1992531321
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.134467 Issued in OH
Practice address
3596 Senna Xander Apt 204
Columbus, OH 43231-0043
Phone
(614) 207-4303
NPI assigned
Sep 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 LPN.134467 OH Primary

Addresses

Primary practice location

3596 Senna Xander Apt 204
Columbus, OH 43231-0043

Mailing address

3596 Senna Xander Apt 204
Columbus, OH 43231-0043
Phone (614) 207-4303

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
LPN.134467OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Home Healthcare, LLC. CurrentSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1992531321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3596 SENNA XANDER APT 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432310043",
            "telephone_number": "614-207-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3596 SENNA XANDER APT 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432310043",
            "telephone_number": "614-207-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPOBI",
        "first_name": "DESMOND",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.134467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.