Individual provider Active NPI

Alexis Oboh, RN

  • Medical-Surgical Registered Nurse
  • Miramar, FL
National Provider Identifier
1043962863
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
9477647 Issued in FL
Practice address
8450 N Sherman Cir Apt E-202
Miramar, FL 33025-5110
Phone
(786) 617-2147
NPI assigned
Jan 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 9477647 FL Primary

Addresses

Primary practice location

8450 N Sherman Cir Apt E-202
Miramar, FL 33025-5110

Mailing address

8450 N Sherman Cir Apt E-202
Miramar, FL 33025-5110
Phone (786) 617-2147

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9477647FLMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1043962863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 N SHERMAN CIR APT E-202",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255110",
            "telephone_number": "786-617-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 N SHERMAN CIR APT E-202",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255110",
            "telephone_number": "786-617-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBOH",
        "first_name": "ALEXIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "9477647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; 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.