Individual provider Active NPI

Angela Oigbokie

  • Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1033765730
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN000026111 Issued in TN
Practice address
5833 Strawberry Pointe CV
Southaven, MS 38672-6619
Phone
(901) 569-0208
NPI assigned
Aug 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN000026111 TN Primary

Addresses

Primary practice location

5833 Strawberry Pointe CV
Southaven, MS 38672-6619

Mailing address

5833 Strawberry Pointe CV
Southaven, MS 38672-6619
Phone (901) 569-0208

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
APN000026111TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pentacare Health Services Current 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": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1033765730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 STRAWBERRY POINTE CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726619",
            "telephone_number": "901-569-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 STRAWBERRY POINTE CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726619",
            "telephone_number": "901-569-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OIGBOKIE",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN000026111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.