Individual provider Active NPI

Theresa Kukueley Okaikoi

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1063012987
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
337838 Issued in NY
Practice address
2271 Washington Ave Apt 1D
Bronx, NY 10457-1458
Phone
(646) 207-9602
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 337838 NY Primary

Addresses

Primary practice location

2271 Washington Ave Apt 1D
Bronx, NY 10457-1458

Mailing address

2271 Washington Ave Apt 1D
Bronx, NY 10457-1458
Phone (646) 207-9602

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

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1063012987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 WASHINGTON AVE APT 1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571458",
            "telephone_number": "646-207-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 WASHINGTON AVE APT 1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571458",
            "telephone_number": "646-207-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAIKOI",
        "first_name": "THERESA",
        "middle_name": "KUKUELEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "337838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.