Active NPI
Nkechinyere Stella Okoroafor
- Psychiatric/Mental Health Registered Nurse
- San Leandro, CA
National Provider Identifier
1285411637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 95308882
- Practice address
- Telecare Corporation
Villa Fairmont MHRC 15200 Foothill Blvd
San Leandro, CA 94578 - Phone
- (510) 352-9690
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95308882 | CA | Primary |
Addresses
Primary practice location
Telecare Corporation
Villa Fairmont MHRC 15200 Foothill Blvd
San Leandro, CA 94578
Mailing address
Telecare Corporation
Villa Fairmont MHRC 15200 Foothill Blvd
San Leandro, CA 94578
Phone (510) 352-9690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95308882 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1285411637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TELECARE CORPORATION",
"address_2": "VILLA FAIRMONT MHRC 15200 FOOTHILL BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94578",
"telephone_number": "510-352-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TELECARE CORPORATION",
"address_2": "VILLA FAIRMONT MHRC 15200 FOOTHILL BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94578",
"telephone_number": "510-352-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOROAFOR",
"first_name": "NKECHINYERE",
"middle_name": "STELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95308882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.