Individual provider Active NPI

Ngozi Njoku, NP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1366123598
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211055 Issued in AK
Practice address
4335 Laurel St
Anchorage, AK 99508-5338
Phone
(907) 782-4750
NPI assigned
Jul 31, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 211055 AK Primary

Addresses

Primary practice location

4335 Laurel St
Anchorage, AK 99508-5338

Mailing address

4335 Laurel St
Anchorage, AK 99508-5338
Phone (907) 782-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20240507000004 AK Practitioner - Nurse Practitioner 2163860214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Services Montana-Private, LLC CurrentSince Aug 28, 2023 Accepting new patients
Canon Clinic LLC Family CurrentSince Feb 27, 2024 Accepting new patients
Canon Clinic LLC Family CurrentSince Feb 27, 2024 Accepting new patients

Locations

4335 Laurel St
Anchorage, AK 99508
Phone (800) 306-1233

821 N St
Ste 102
Anchorage, AK 99501
Phone (253) 844-4327

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1366123598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085338",
            "telephone_number": "907-782-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085338",
            "telephone_number": "907-782-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOKU",
        "first_name": "NGOZI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "211055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.