Rishona Nasia Ruth Haynes Omoyugbo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

814617 Issued in NY

Practice address

27 Blueberry LN
East Patchogue, NY 11772-4631

Phone

(347) 471-3812

NPI assigned

Apr 4, 2023

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1134824451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BLUEBERRY LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724631",
            "telephone_number": "347-471-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BLUEBERRY LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724631",
            "telephone_number": "347-471-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES OMOYUGBO",
        "first_name": "RISHONA",
        "middle_name": "NASIA RUTH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "814617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Hall
• Ping Hao, PHYSICIAN ASSISTANT
• Eden Diane Harrigan, MSPT
• Michael Haselkorn, D. D. S.
• Danielle Hatzidakis, LPN
• Craig Heffron, AU.D
• Susan Henderson, NP
• Brittany Lynn Hervey, DPM
• Kristy Hill, OT
• Tawana Hill, D.O.

• Registered Nurse in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.