Individual provider Active NPI

Emeka Gerald Okeakpu, CNA

  • Driver
  • Minneapolis, MN
National Provider Identifier
1093197832
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
380622 Issued in MN
Practice address
2934 Colfax Ave N
Minneapolis, MN 55411-1461
Phone
(763) 316-7900
NPI assigned
Jun 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 380622 MN Primary

Addresses

Primary practice location

2934 Colfax Ave N
Minneapolis, MN 55411-1461

Mailing address

2934 Colfax Ave N
Minneapolis, MN 55411-1461
Phone (763) 316-7900

Other identifiers 1

IdentifierTypeStateIssuer
380622OtherMNMINNESOTA DEPARTMENT OF TRANSPORTATION (MNDOT)

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Logistics Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1093197832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 COLFAX AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111461",
            "telephone_number": "763-316-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 COLFAX AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111461",
            "telephone_number": "763-316-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEAKPU",
        "first_name": "EMEKA",
        "middle_name": "GERALD",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-28",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "380622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF TRANSPORTATION (MNDOT)",
            "identifier": "380622",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.