Individual provider Active NPI

Joyce Olufunmilola Ekong, CNS

  • Clinical Nurse Specialist
  • Redlands, CA
National Provider Identifier
1124622758
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
4031 Issued in CA
Practice address
1782 W Park Ave Ste 131
Redlands, CA 92373-3106
Phone
(909) 651-9819
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 4031 CA Primary
Registered Nurse 163W00000X 569996 CA

Addresses

Primary practice location

1782 W Park Ave Ste 131
Redlands, CA 92373-3106

Mailing address

1782 W Park Ave Ste 131
Redlands, CA 92373-3106
Phone (909) 651-9819

Other names 1

  • Joyce Olufunmilola Alesinloye Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jekong@llu.edu

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
4031CAMDSchool Psychologist
569996CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1124622758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 W PARK AVE STE 131",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733106",
            "telephone_number": "909-651-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 W PARK AVE STE 131",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733106",
            "telephone_number": "909-651-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKONG",
        "first_name": "JOYCE",
        "middle_name": "OLUFUNMILOLA",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "4031",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "569996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jekong@llu.edu",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "address_1": "1782 W Park Ave Ste 131",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923733106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "ALESINLOYE",
            "middle_name": "OLUFUNMILOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.