Jamie Ruth Inegbedion

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN92069 Issued in MA

Practice address

98 Boundary St
Brockton, MA 02302-1111

Phone

(508) 404-4493

NPI assigned

Aug 27, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Healthcare at Home Afc LLC

  • Foster Care Agency
  • Canton, MA
  • NPI 1851109961
  NPD Authorized official

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1356018139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BOUNDARY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021111",
            "telephone_number": "508-404-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BOUNDARY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021111",
            "telephone_number": "508-404-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INEGBEDION",
        "first_name": "JAMIE",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN92069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial Health and Home Care LLC
• Inclusion Counseling Services
• Inclusion Family Counseling Center Inc
• Independence Associates, Inc.
• Independent at Home, LLC
• Infinite Blossom Counseling LLC
• Informatix Health Inc
• Innerpowerment Inc
• Innovative Surgical Care, PC
• Inspiration for Tomorrow Inc.

• Licensed Practical Nurse in Brockton, MA
• Providers in Brockton, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.