Individual provider Active NPI

Irene Ogbeiwe, FNP

  • Family Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1285912881
Registry record updated Jul 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
488255 Issued in CA
Practice address
10101 Oglethorpe Way
Elk Grove, CA 95624-1346
Phone
(916) 813-2747
NPI assigned
Jul 30, 2011
Last updated
Jul 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2011

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 488255 CA Primary

Addresses

Primary practice location

10101 Oglethorpe Way
Elk Grove, CA 95624-1346

Mailing address

10101 Oglethorpe Way
Elk Grove, CA 95624-1346
Phone (916) 813-2747

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
21374CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Extended Care Past Accepting new patients
Mdstat Urgent Care, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311984000000",
    "number": "1285912881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 OGLETHORPE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241346",
            "telephone_number": "916-813-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 OGLETHORPE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241346",
            "telephone_number": "916-813-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBEIWE",
        "first_name": "IRENE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-30",
        "last_updated": "2011-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "488255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.