Individual provider Active NPI

Akua Obiri

  • Licensed Practical Nurse
  • Fairfield, OH
National Provider Identifier
1124689724
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
163618 Issued in OH
Practice address
3700 Mack Rd Apt 9
Fairfield, OH 45014-6647
Phone
(973) 368-3518
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 163618 OH Primary

Addresses

Primary practice location

3700 Mack Rd Apt 9
Fairfield, OH 45014-6647

Mailing address

21 Versailles Apt C
Cincinnati, OH 45240-3829
Phone (973) 368-3518

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

State licenses

LicenseStateTypeSpecialty
163618OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Serobis Home Healthcare, LLC CurrentSince Jan 19, 2025 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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1124689724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 VERSAILLES APT C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403829",
            "telephone_number": "973-368-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 MACK RD APT 9",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450146647",
            "telephone_number": "973-368-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIRI",
        "first_name": "AKUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "163618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.