Edith O Iwuajoku, CNA

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Practice address

1488 Orca Way
1488 Orca Way
Reno, NV 89506-6608

Phone

(775) 324-7471

Fax

(775) 324-7471

NPI assigned

Apr 11, 2007

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

Other names 1

• Mrs. Edith O Iwuajoku Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336362086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 ORCA WAY",
            "address_2": "1488 ORCA WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895066608",
            "telephone_number": "775-324-7471",
            "fax_number": "775-324-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 ORCA WAY",
            "address_2": "1488 ORCA WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895066608",
            "telephone_number": "775-324-7471",
            "fax_number": "775-324-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUAJOKU",
        "first_name": "EDITH",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EDITGIL",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "IWUAJOKU",
            "middle_name": "O",
            "prefix": "MRS.",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Reno, NV
• Providers in Reno, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.