Individual provider Active NPI

Faith Idakwoji, CRNP

  • Family Nurse Practitioner
  • Windsor Mill, MD
National Provider Identifier
1275008393
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R217850 Issued in MD
Practice address
7527 Stones Throw CT
Windsor Mill, MD 21244-1232
Phone
(443) 488-2326
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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 R217850 MD Primary

Addresses

Primary practice location

7527 Stones Throw CT
Windsor Mill, MD 21244-1232

Mailing address

7527 Stones Throw CT
Windsor Mill, MD 21244-1232
Phone (443) 488-2326

Other identifiers 1

IdentifierTypeStateIssuer
F08181151OtherAMERICAN ACADEMY OF NURSE PRACTITIONER CERTIFICATION NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190726001911 MD Practitioner - Nurse Practitioner 5799011870 Reassigns benefits to 1 organization

National Provider Directory

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

Organizations & group practices 1

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1275008393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 STONES THROW CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441232",
            "telephone_number": "443-488-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 STONES THROW CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441232",
            "telephone_number": "443-488-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDAKWOJI",
        "first_name": "FAITH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONER CERTIFICATION NUMBER",
            "identifier": "F08181151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

Verify at the official NPI Registry.