Individual provider Active NPI

Otuodichima Nwankpa

  • Family Nurse Practitioner
  • New Rochelle, NY
National Provider Identifier
1003968645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333811 Issued in NY
Practice address
7 Watkins PL
New Rochelle, NY 10801-3105
Phone
(914) 320-5234
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333811 NY Primary

Addresses

Primary practice location

7 Watkins PL
New Rochelle, NY 10801-3105

Mailing address

7 Watkins PL
New Rochelle, NY 10801-3105
Phone (914) 636-7262

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
F333811NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: otuodichima.nwankpa.1@22829.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003968645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WATKINS PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013105",
            "telephone_number": "914-636-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WATKINS PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013105",
            "telephone_number": "914-320-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKPA",
        "first_name": "OTUODICHIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.