Active NPI
Emmanuel Ajibola Okeowo, CRNA
- Certified Registered Nurse Anesthetist
- Albuquerque, NM
National Provider Identifier
1245109909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 89757
- Practice address
- 6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363 - Phone
- (469) 767-1828
- NPI assigned
- Oct 31, 2025
- Last updated
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 89757 | NM | Primary |
Addresses
Primary practice location
6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363
Mailing address
6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363
Phone (469) 767-1828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13500 Powers CT
Fort Myers, FL 33912-4503
PO Box
Dallas, TX 75222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1245109909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6709 ACADEMY RD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093363",
"telephone_number": "469-767-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6709 ACADEMY RD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093363",
"telephone_number": "469-767-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEOWO",
"first_name": "EMMANUEL",
"middle_name": "AJIBOLA",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-31",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "89757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.