FARDOWSA O KHALIF (NPI# 1023648318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023648318 |
| Entity Type | Individual |
| Full Name | FARDOWSA O KHALIF |
| Credential | CNP |
| Practice Address |
111 S Grant Ave N/a Columbus OH 43215 |
| Mailing Address |
4111 Turpin Ln N/a Columbus OH 43230 |
| Practice Telephone | 6142269954 |
| Mailing Telephone | 6142269954 |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2020-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.025806 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 S GRANT AVE N/A |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146075 | Edward John Weisenberger | Nurse Anesthetist, Certified Registered | 111 S Grant Ave, 3rd Fl, Columbus, OH 43215 | 2005-07-07 |
| 1114528171 | Jessica Lynn Hack | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-1898 | 2020-11-05 |
| 1780297424 | Lauren Entwistle | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-08-24 |
| 1427673185 | Ohiohealth Grant Medical Center | Pharmacy | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-06-09 |
| 1215557871 | Kelly Elizabeth Ventresco | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-1898 | 2020-04-23 |
| 1255968624 | Allison Kaye Hoynes | Student in an Organized Health Care Education/Training Program | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-03-25 |
| 1174167944 | Hope Deborah Dela Vega | Physical Therapist | 111 S Grant Ave, Columbus, OH 43215-1898 | 2019-11-04 |
| 1184271553 | Gabrielle Noel Colaiacovo | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2019-08-21 |
| 1053979328 | Megan Elizabeth Vanlandingham | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2019-06-03 |
| 1235618398 | Ashley Elizabeth Clegg | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-4701 | 2018-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1083224315 | Lalanna Renee Shawgo | Nurse Practitioner | 2108 Thistlewood Dr, Columbus, OH 43235-4274 | 2020-08-02 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1437636115 | Elliot Rodriguez | Nurse Practitioner | 376 W.10th Avenue, 760 Prior Hall, Columbus, OH 43210-1238 | 2018-07-25 |
| 1962926279 | Melanie Coyne | Nurse Practitioner | 101 13th St Ste 200, Columbus, GA 31901-2183 | 2017-07-28 |
| 1750811568 | Julie M. Bess | Nurse Practitioner | 452 W. 10th Avenue, Columbus, OH 43210-1240 | 2017-06-14 |
| 1447669338 | Rachel Elizabeth Rose | Nurse Practitioner | 300 W.10th Ave., Columbus, OH 43210 | 2014-08-05 |
| 1497167449 | Michele L. Lozano | Nurse Practitioner | 460 W 10th Ave # C1021, Columbus, OH 43210-1240 | 2014-05-27 |
| 1538570429 | Nicole A. Allen-payne | Nurse Practitioner | 460 W 10th Ave Fl 11, Columbus, OH 43210-1240 | 2014-05-13 |
| 1497733109 | Stephen Kirk Douglas | Nurse Practitioner | 2675 Foxpointe Drive, Suite B, Columbus, IN 47203 | 2006-01-03 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.