Nonyelum Patience Odenigbo, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R191666 Issued in MD

Practice address

6815 99TH Ave
Lanham, MD 20706-3639

Phone

(130) 125-7415

Fax

(301) 257-4153

NPI assigned

Nov 12, 2017

Last updated

Nov 12, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510444800000",
    "number": "1255844395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 99TH AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063639",
            "telephone_number": "301-257-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 99TH AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063639",
            "telephone_number": "130-125-7415",
            "fax_number": "301-257-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODENIGBO",
        "first_name": "NONYELUM",
        "middle_name": "PATIENCE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-12",
        "last_updated": "2017-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R191666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obrien L Wimbish (Over and Beyond Holistic Therapies)
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Aead Odeh
• Daphne Odeh, RBT
• Ibikunle David Odeyemi
• Benis Fomune Odmia
• Rebeca Oduah
• Abiodun Odunnaike
• Providence Njike Ofe

• Family Nurse Practitioner in Lanham, MD
• Providers in Lanham, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2017; 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.