Active NPI
Henrietta Okang Okpa
- Licensed Practical Nurse
- Washington, DC
National Provider Identifier
1205628617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN1005328
- Practice address
- 702 15TH St NE
Washington, DC 20002-4508 - Phone
- (301) 795-5155
- NPI assigned
- May 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN1005328 | DC | Primary |
Addresses
Primary practice location
702 15TH St NE
Washington, DC 20002-4508
Mailing address
1630 Blacksmith Way
Frederick, MD 21702
Phone (301) 795-5515
Other names 1
- Henrietta Okang Okpa
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN1005328 | DC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1205628617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 BLACKSMITH WAY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21702",
"telephone_number": "301-795-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 15TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024508",
"telephone_number": "301-795-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKPA",
"first_name": "HENRIETTA",
"middle_name": "OKANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-21",
"last_updated": "2025-05-21",
"certification_date": "2025-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "LPN1005328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HENRIETTA",
"last_name": "OKPA",
"middle_name": "OKANG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.