Grace Oghenekaro Oyefesobi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4351 Issued in MN

Practice address

8468 Tamarack Village
CVS Minute Clinic
Woodbury, MN 55125

Phone

(651) 278-5633

NPI assigned

May 4, 2016

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 identifiers 1

Other names 1

• Mrs. Grace Oghenekaro Akoh-Onoja Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amerigrace Home Care LLC

  • Home Health Agency
  • Cottage Grove, MN
  • NPI 1558832105
  NPD Authorized official
• Integrity Homecare Services, Inc

  • Home Health Agency
  • Cottage Grove, MN
  • NPI 1982927943
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1184070591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 HALE AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163894",
            "telephone_number": "651-769-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 TAMARACK VILLAGE",
            "address_2": "CVS MINUTE CLINIC",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-278-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEFESOBI",
        "first_name": "GRACE",
        "middle_name": "OGHENEKARO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "4351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982927943",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "AKOH-ONOJA",
            "middle_name": "OGHENEKARO",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Otolaryngology & Head & Neck Surgery, P.a.
• Otolaryngology Head & Neck Surgery, P.a.
• Cassondra Jo Otten, PSY.D., LP
• Jenna Mae Ouellette
• Cynthia Owusu-Ansah, RN
• Elizabeth Padilla, LICSW
• Pamela Paist
• Grace L Palacios
• Steven Palm, MD
• Zalbert Vance Cruz Palma

• Family Nurse Practitioner in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.