Juliana Nwakaego Okoro, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

136669-1 Issued in MN

Practice address

1401 Silver Lake Rd NW Ste 7
New Brighton, MN 55112-9307

Phone

(165) 127-8992

Fax

(612) 212-4891

NPI assigned

Aug 3, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• House of Gilead LLC

  • Home Health Agency
  • Blaine, MN
  • NPI 1841054707
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1356951644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SILVER LAKE RD NW STE 7",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129307",
            "telephone_number": "165-127-8992",
            "fax_number": "612-212-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SILVER LAKE RD NW STE 7",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129307",
            "telephone_number": "165-127-8992",
            "fax_number": "612-212-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "JULIANA",
        "middle_name": "NWAKAEGO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "136669-1",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "136669-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "homecare@1dominion.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7764 Hemingway Ave S Apt 4",
            "city": "Cottage Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550164749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ifeoma Odor, LICSW
• Odyssey Programs, LLC
• Lorinda Faye Oenga
• Michaela Jo Oesterlin, LADC, LPCC TRACK
• Olubodun Ajibayo Ofakunrin, PMHNP, CNP
• Danyielle Oladimeji
• Chelsey Oleson, BCBA
• Olistica, Inc.
• Floyd William Olsen, D.C.
• Jaclyn E Olson

• Home Health Registered Nurse in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.