Irenegbe Evbuomwan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

298055 Issued in NY

Practice address

1 Glenwood Ave
Yonkers, NY 10701-2164

Phone

(914) 410-4509

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1083947873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLENWOOD AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012164",
            "telephone_number": "914-410-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GLENWOOD AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012164",
            "telephone_number": "914-410-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVBUOMWAN",
        "first_name": "IRENEGBE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "298055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meg R Evangelista, OTR/L
• Rosaria Evangelista, MS, CCC-SLP, TSSLD
• Susan Evangelista
• Marsha Evans
• Florence Evbuomwan
• Patricia Evbuomwan
• Evelyn Olivo Mental Health Counseling PLLC
• Evergreen Physical Therapy PC
• Janine Renee Everts-Carolini, CCC-SLP
• Carissa Ewers, MSW

• Licensed Practical Nurse in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Licensed Practical Nurse in New York

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