Osita Ibe

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP48867 Issued in MD

Practice address

601 Locust St
Cambridge, MD 21613-1701

Phone

(240) 421-4882

NPI assigned

Jan 11, 2017

Last updated

Jan 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shore Community Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Easton, MD
  • NPI 1487251195
  NPD Authorized official
• United Nursing Solutions Inc.

  • Home Health Agency
  • Easton, MD
  • NPI 1548507577
  NPD Authorized official

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1083150270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LOCUST ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131701",
            "telephone_number": "240-421-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LOCUST ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131701",
            "telephone_number": "240-421-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBE",
        "first_name": "OSITA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R222210",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP48867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HQM of Mallard Bay, LLC (Mallard Bay Care Center at Cambridge)
• Hubbard's Pharmacy, Inc
• Keun Young Hwang
• Hyun M. Bae DDS
• Sarah Ilana Iacobovici, M.D.
• Omeaka Jackson
• Davindra N Jailall, M.D.
• Jenny Lynne Jarrell, LCSW C
• Donnace Angelicia Jathan
• Myra Jehangir, DDS

• Licensed Practical Nurse in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.