Individual provider Active NPI

Chitua Ada Okoh, PHD, RD, LDN, MPH

  • Registered Dietitian
  • Bowie, MD
National Provider Identifier
1043594427
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
N00035 Issued in MD
Practice address
12219 Castlewall CT
Bowie, MD 20720-3493
Phone
(301) 352-7679
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X N00035 MD
Nutritionist 133N00000X D1710 DC
Registered Dietitian 133V00000X N00035 MD Primary
Registered Dietitian 133V00000X D1710 DC

Addresses

Primary practice location

12219 Castlewall CT
Bowie, MD 20720-3493

Mailing address

12219 Castlewall CT
Bowie, MD 20720-3493
Phone (301) 352-7679

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D1710DCMDRegistered Dietitian
N00035MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1043594427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12219 CASTLEWALL CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203493",
            "telephone_number": "301-352-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12219 CASTLEWALL CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203493",
            "telephone_number": "301-352-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOH",
        "first_name": "CHITUA",
        "middle_name": "ADA",
        "name_prefix": "Dr.",
        "credential": "PHD, RD, LDN, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "N00035",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "DC",
            "license": "D1710",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "N00035",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "D1710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.