Mercy Khasiala Amakobe

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R238585 Issued in MD

Practice address

915 N Madison St Lowr Ground
Wilmington, DE 19801-1439

Phone

(302) 252-7279

NPI assigned

Aug 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wilmington Vaccines Corporation

  • Public Health or Welfare Agency
  • Wilmington, DE
  • NPI 1982288601
  NPD

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1104592823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MADISON ST LOWR GROUND",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011439",
            "telephone_number": "302-252-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MADISON ST LOWR GROUND",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011439",
            "telephone_number": "302-252-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAKOBE",
        "first_name": "MERCY",
        "middle_name": "KHASIALA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "R238585",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R238585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "appointments@wilmingtonvaccines.com",
            "affiliation": "Y",
            "endpointDescription": "Appointments email",
            "affiliationName": "WILMINGTON VACCINES CORPORATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 N Madison St Lowr Ground",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198011439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christa Alterisio
• Altix Medical de PA
• Carol Alvarado-Barrantes, M.D.
• Kymberly M Alvarado, LCSW
• Always Best Care of Delaware
• Roselyne Nyangasi Amakobe
• Amani Inc.
• Bismark Amankwaah
• Jessica Catrina Amato, DPT
• Amazing Pharmacy Inc

• All providers in Wilmington, DE
• Registered Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.