Active NPI
Simplicius E Okoro, RN
- Home Health Registered Nurse
- Nashville, TN
National Provider Identifier
1164925715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 220042
- Practice address
- 301 S Perimeter Park Dr Ste 100
Nashville, TN 37211-4128 - Phone
- (615) 930-9391
- NPI assigned
- Mar 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 220042 | TN | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 220042 | TN | |
| Home Health Registered Nurse | 163WH0200X | 220042 | TN | Primary |
Addresses
Primary practice location
301 S Perimeter Park Dr Ste 100
Nashville, TN 37211-4128
Mailing address
301 S Perimeter Park Dr Ste 100
Nashville, TN 37211-4128
Phone (615) 930-9391
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220042 | TN | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Care Inc | Home Health | Current | Accepting new patients |
Locations
301 S Perimeter Park Dr
Ste 100
Nashville, TN 37211
Phone (615) 478-6748
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": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1164925715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S PERIMETER PARK DR STE 100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114128",
"telephone_number": "615-930-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S PERIMETER PARK DR STE 100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114128",
"telephone_number": "615-930-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKORO",
"first_name": "SIMPLICIUS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-09",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "220042",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TN",
"license": "220042",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TN",
"license": "220042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.