Individual provider Active NPI

Nwakaego Iwenofu Thomas, MA, CCC-SLP

  • Speech-Language Pathologist
  • Newport News, VA
National Provider Identifier
1295323483
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006770 Issued in VA
Practice address
804 Lancaster LN
Newport News, VA 23602-8820
Phone
(757) 898-0231
Fax
(757) 898-0231
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2202006770 VA Primary

Addresses

Primary practice location

804 Lancaster LN
Newport News, VA 23602-8820

Mailing address

804 Lancaster LN
Newport News, VA 23602-8820
Phone (757) 898-0231

Other names 1

  • Mrs. Nwakaego Ov Iwenofu Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Smartbear

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1295323483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LANCASTER LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028820",
            "telephone_number": "757-898-0231",
            "fax_number": "757-898-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LANCASTER LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028820",
            "telephone_number": "757-898-0231",
            "fax_number": "757-898-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NWAKAEGO",
        "middle_name": "IWENOFU",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Smartbear",
            "affiliation": "N",
            "address_1": "804 Lancaster Ln",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236028820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NWAKAEGO",
            "last_name": "IWENOFU",
            "middle_name": "OV",
            "prefix": "MRS.",
            "credential": "MA, CCC-CLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.