Aghogho Omene, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11032417 Issued in FL

Practice address

1200 SW 3Rd St
Pompano Beach, FL 33069-3240

Phone

(954) 532-9614

NPI assigned

Jun 24, 2024

Last updated

Aug 5, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spatium Urgent Care LLCGroup PAC ID 5294141941, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Spatium Urgent Care LLC

  • Urgent Care Clinic/Center
  • Marietta, GA
  • NPI 1508453044
  Medicare reassignment Care Compare group NPD
• Dawnsther Non Emergency Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Marietta, GA
  • NPI 1790514883
  NPD Authorized official
• Dawn Primary Care

  • General Practice Physician
  • Marietta, GA
  • NPI 1427830033
  NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1346084373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SW 3RD ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SW 3RD ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693240",
            "telephone_number": "954-532-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMENE",
        "first_name": "AGHOGHO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Frances Okorn, M.S.
• Beverly H Oliver
• Deanna Marie Oliver
• Olmedo Ramilo
• Dorothy May Oman
• On the Right Path, LLC
• One Step Med Supply LLC
• Laqueta Latisha Oneil
• Kirsten S Ongel
• Only Hope Sober Living

• Family Nurse Practitioner in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Family Nurse Practitioner in Florida

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