Mary Helen Akhuemokhan

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

511985 Issued in NY

Practice address

27 Warren St
Brentwood, NY 11717-1530

Phone

(631) 617-5808

NPI assigned

Feb 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1316485964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WARREN ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171530",
            "telephone_number": "631-617-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WARREN ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171530",
            "telephone_number": "631-617-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHUEMOKHAN",
        "first_name": "MARY",
        "middle_name": "HELEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "511985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163W00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhina Aguila
• Edmond Agyeman, LPN
• Tara Ahart
• Anahita Kaur Ahuja, D.O.
• Adaora Chioma Akabalu, RN
• Shelly Akhuemokhan
• Barbara Albano-Hickman, LMSW
• Eduardo E Albornoz, DDS
• Joanne Beth Alexander, RN
• Jennifer Alexandre

• General Practice Registered Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.