Individual provider Active NPI

Emmanuella Ifeyinwa Okpah IX, FNP

  • Family Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1245822642
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R172380 Issued in MD
Practice address
7834 Rolling View Ave
Nottingham, MD 21236-3635
Phone
(443) 600-3893
NPI assigned
Feb 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R172380 MD Primary

Addresses

Primary practice location

7834 Rolling View Ave
Nottingham, MD 21236-3635

Mailing address

2015 Spring Rd
Ste 300
Oak Brook, IL 60523-3944
Phone (630) 725-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220204002295 MD Practitioner - Nurse Practitioner 3375936891 Reassigns benefits to 5 organizations
I20220212000011 DC Practitioner - Nurse Practitioner 3375936891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Pain and Rehabilitation Center LLCGroup PAC ID 1850534645, 13 clinicians

Practice addresses (Care Compare)

1001 Pine Heights Ave
Suite 200
Baltimore, MD 21229-5284
Phone (240) 786-1001

1005 N Point Blvd
Suite 722
Dundalk, MD 21224-3402
Phone (240) 786-1001

6615 Reisterstown Rd
Suite 302
Baltimore, MD 21215-2689
Phone (240) 786-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Oct 12, 2021 Accepting new patients
SNF Physiatry Services MD LLC CurrentSince Mar 2, 2026 Accepting new patients
Choice Pain & Rehabilitation Center CurrentSince Jun 15, 2024 Accepting new patients
Choice Pain & Rehabilitation Center, LLC CurrentSince Jun 15, 2024 Accepting new patients
USA Vein Clinics of Chantilly LLC PastSince Jan 22, 2025 Accepting new patients
USA Vein Clinics of Maryland LLC PastSince Jan 1, 2023 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

400 E Pratt St
Fl 8
Baltimore, MD 21202
Phone (410) 505-0521

1005 Northpoint Blvd
Ste 722
Baltimore, MD 21224
Phone (240) 534-3289

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (202) 689-4398

7404 Executive Pl
Ste 510
Lanham, MD 20706

14205 Park Center Dr
Ste 204
Laurel, MD 20707
Phone (301) 853-0093

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

185 Route 70
Ste 302
Toms River, NJ 08755
Phone 7328130799105

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1245822642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SPRING RD",
            "address_2": "STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233944",
            "telephone_number": "630-725-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7834 ROLLING VIEW AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363635",
            "telephone_number": "443-600-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPAH",
        "first_name": "EMMANUELLA",
        "middle_name": "IFEYINWA",
        "name_suffix": "IX",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R172380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.