Individual provider Active NPI

Oby Christiana Ikoro, FNP-BC

  • Family Nurse Practitioner
  • Stoughton, MA
National Provider Identifier
1366727653
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212376 Issued in MA
Practice address
99 Rocky Knoll Dr
Stoughton, MA 02072-1080
Phone
(781) 344-7983
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 212376 MA
Family Nurse Practitioner 363LF0000X 212376 MA Primary

Addresses

Primary practice location

99 Rocky Knoll Dr
Stoughton, MA 02072-1080

Mailing address

99 Rocky Knoll Dr
Stoughton, MA 02072-1080
Phone (781) 344-7983

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address oby@atriumphealth.com Other
Other URL oby@atriumphealth.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
212376MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Triumphealth Group Past Accepting new patients
A Plus Triumphealth Group, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1366727653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROCKY KNOLL DR",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721080",
            "telephone_number": "781-344-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ROCKY KNOLL DR",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721080",
            "telephone_number": "781-344-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKORO",
        "first_name": "OBY",
        "middle_name": "CHRISTIANA",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "212376",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "212376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oby@atriumphealth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "99 Rocky Knoll Dr",
            "city": "Stoughton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020721080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "oby@atriumphealth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "99 Rocky Knoll Dr",
            "city": "Stoughton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020721080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.