Individual provider Active NPI

Felicia Chizomam Oji, DNP, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1063933620
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-104466 Issued in AL
Practice address
100 E Vandiver Blvd
Montgomery, AL 36110-1812
Phone
(334) 832-4338
Fax
(334) 832-9971
NPI assigned
Jul 4, 2017
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-104466 AL Primary
Adult Health Nurse Practitioner 363LA2200X 1-104466 AL
Gerontology Nurse Practitioner 363LG0600X 1-104466 AL
Primary Care Nurse Practitioner 363LP2300X 1-104466 AL

Addresses

Primary practice location

100 E Vandiver Blvd
Montgomery, AL 36110-1812

Mailing address

100 E Vandiver Blvd
Montgomery, AL 36110-1812
Phone (334) 832-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624001601 AL Practitioner - Nurse Practitioner 0749514834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services IncGroup PAC ID 1557324811, 30 clinicians

Practice addresses (Care Compare)

100 E Vandiver Blvd
Montgomery, AL 36110-1812
Phone (334) 832-4338

1845 Cherry St
Montgomery, AL 36107-2613
Phone (334) 420-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-104466ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services, Inc. CurrentSince Apr 3, 2019 Accepting new patients
Health Services Inc Current Accepting new patients
Health Services Inc CurrentSince Apr 3, 2019 Accepting new patients
Health Services Inc Past Accepting new patients
Vista Radiology, PC. Past Accepting new patients
Health Services Inc PastSince Feb 2, 2020 Accepting new patients

Locations

2905 E South Blvd
Ste 53
Montgomery, AL 36116
Phone (334) 288-0009

Interoperability endpoints

  • Direct secure messaging: felicia.oji.1@14429.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1063933620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VANDIVER BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361101812",
            "telephone_number": "334-832-4338",
            "fax_number": "334-832-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VANDIVER BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361101812",
            "telephone_number": "334-832-4338",
            "fax_number": "334-832-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJI",
        "first_name": "FELICIA",
        "middle_name": "CHIZOMAM",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-104466",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-104466",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-104466",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-104466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.