Individual provider Active NPI

Precious Ekeh, LPN

  • Licensed Practical Nurse
  • Central Islip, NY
National Provider Identifier
1164912887
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
66538 Issued in OK
Practice address
22 Julie Cres
Central Islip, NY 11722-4908
Phone
(631) 332-4567
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 66538 OK Primary

Addresses

Primary practice location

22 Julie Cres
Central Islip, NY 11722-4908

Mailing address

22 Julie Cres
Central Islip, NY 11722-4908
Phone (631) 332-4567

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
66538OKMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gods Grace Home Care Services 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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1164912887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 JULIE CRES",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224908",
            "telephone_number": "631-332-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 JULIE CRES",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224908",
            "telephone_number": "631-332-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEH",
        "first_name": "PRECIOUS",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "66538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.