Philomina Ebere Obah, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9045546-4405 Issued in UT

Practice address

275 W 200 N Ste 7
Kaysville, UT 84037-1873

Phone

(801) 546-1300

Fax

(801) 546-1301

NPI assigned

Apr 24, 2023

Last updated

Aug 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain Management

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Spring Pain Management LLCGroup PAC ID 2567697931, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Life Spring Pain Management, LLC

  • Health Service Clinic/Center
  • Kaysville, UT
  • NPI 1699115188
  Medicare reassignment Care Compare group
• C and B Family Practice LLC

  dba C and B Family Practice

  • Nurse Practitioner
  • Altonah, UT
  • NPI 1841825213
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1326735812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 EASTFORK CIR",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252672",
            "telephone_number": "801-641-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 200 N STE 7",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371873",
            "telephone_number": "801-546-1300",
            "fax_number": "801-546-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAH",
        "first_name": "PHILOMINA",
        "middle_name": "EBERE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9045546-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "90455463102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Noble, D.O.
• Norco Inc.
• Northern Utah Case Management
• Nicholas Read O'Neal, LCMHC
• Christian C Obah, MD
• John Robert Lagman Obrique, CNA
• Oneal Counseling, LLC
• Anabelle Orosco
• Natasha Orton
• Jocelyn Osuna

• Family Nurse Practitioner in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.