Individual provider Active NPI

Tawana Nicole Okene, REGISTERED NURSE(RN)

  • Registered Nurse
  • Queens Village, NY
National Provider Identifier
1326346495
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
615431-1 Issued in NY
Practice address
21943 Peck Ave
Queens Village, NY 11427-1121
Phone
(718) 776-6966
NPI assigned
Mar 14, 2011
Last updated
Mar 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 615431-1 NY Primary

Addresses

Primary practice location

21943 Peck Ave
Queens Village, NY 11427-1121

Mailing address

219-43 Peck Ave.
Hollis-Hills, NY 11427
Phone (718) 776-6966

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

LicenseStateTypeSpecialty
615431-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1326346495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219-43 PECK AVE.",
            "city": "HOLLIS-HILLS",
            "state": "NY",
            "postal_code": "11427",
            "telephone_number": "718-776-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21943 PECK AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271121",
            "telephone_number": "718-776-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKENE",
        "first_name": "TAWANA",
        "middle_name": "NICOLE",
        "credential": "REGISTERED NURSE(RN)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "615431-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.