Active NPI
Jessica Chichebem Owaka
- Student in an Organized Health Care Education/Training Program
- Aberdeen, WA
National Provider Identifier
1023675683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Grays Harbor Community Hospital
915 Anderson Dr.
Aberdeen, WA 98520 - Phone
- (360) 532-8330
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Grays Harbor Community Hospital
915 Anderson Dr.
Aberdeen, WA 98520
Mailing address
5850 S Mansfield Ave
Los Angeles, CA 90043-3317
Phone (323) 674-4217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250702002094 | AZ | Order and Referring Only - Obstetrics/Gynecology | 0244743169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1023675683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 S MANSFIELD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900433317",
"telephone_number": "323-674-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRAYS HARBOR COMMUNITY HOSPITAL",
"address_2": "915 ANDERSON DR.",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "98520",
"telephone_number": "360-532-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWAKA",
"first_name": "JESSICA",
"middle_name": "CHICHEBEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.