Jane Ighalo-Edoro

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN966809 Issued in DC

Practice address

1160 Varnum St NE Ste 218
Washington, DC 20017-2106

Phone

(202) 269-6600

Fax

(202) 621-9564

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• 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 and National Provider Directory roles.

• Mbi Health Services LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1396048070
  Medicare reassignment NPD
• Providence Health Services Inc

  • Family Medicine Physician
  • Washington, DC
  • NPI 1669453809
  NPD
• Providence Health Services, Inc

  • Physiological Laboratory
  • Washington, DC
  • NPI 1598313595
  NPD

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1215595350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 218",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 218",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172106",
            "telephone_number": "202-269-6600",
            "fax_number": "202-621-9564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Baltimore Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "MD",
            "postal_code": "207403641",
            "country_code": "US",
            "telephone_number": "240-467-5739",
            "fax_number": "240-467-5795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGHALO-EDORO",
        "first_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R176249",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DC",
            "license": "RN966809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "healthfirst1@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1160 Varnum St NE Ste 218",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200172106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Osamuyimen O Igbinosa, MD
• Wemimo M Igbinosun
• Chinelo Igbo
• Scholastica Igbokwe
• Anthony O. Igene
• Cheryl Iglesia, MD
• Franccesca Stephany Iglesias Espinosa, OTD, OTR/L
• Maria Iglesias Gaspar
• Angela Iglesias
• Danilo Humberto Iglesias, M.D.

• Primary Care Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Primary Care Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.