Winifred Oluchi Gbomita, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP013598 Issued in PA

Practice address

3535 Market St Ste 100
Philadelphia, PA 19104-3376

Phone

(800) 873-8845

NPI assigned

Sep 16, 2014

Last updated

Feb 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Winifred Oluchi Iwu Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MHP MD PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Conshohocken, PA
  • NPI 1508538695
  NPD

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1174925648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EDGEMOOR RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121817",
            "telephone_number": "856-237-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST STE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043376",
            "telephone_number": "800-873-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBOMITA",
        "first_name": "WINIFRED",
        "middle_name": "OLUCHI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WINIFRED",
            "last_name": "IWU",
            "middle_name": "OLUCHI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Anthony Gazzara Jr., DO
• GB Health, LLC
• Salyma G Gbamele, MA
• Marcia Gbatu
• Kofi Gbomita
• GBSS, Inc. D/B/a Good Brothers Home Health Care
• Abdallahsassine Geara, M.D.
• Peter Gearhart, MD
• Antonia Geathers
• Juliana Sanchez Gebb, MD

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.