Active NPI
Ogenna Omenugha
- Student in an Organized Health Care Education/Training Program
- Tallahassee, FL
National Provider Identifier
1366859548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2915 Sharer Rd
1635
Tallahassee, FL 32312-2201 - Phone
- (954) 397-4743
- NPI assigned
- Jul 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | Primary |
Addresses
Primary practice location
2915 Sharer Rd
1635
Tallahassee, FL 32312-2201
Mailing address
2915 Sharer Rd
1635
Tallahassee, FL 32312-2201
Phone (954) 397-4743
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405728000000",
"number": "1366859548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 SHARER RD",
"address_2": "1635",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323122201",
"telephone_number": "954-397-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 SHARER RD",
"address_2": "1635",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323122201",
"telephone_number": "954-397-4743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMENUGHA",
"first_name": "OGENNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-19",
"last_updated": "2014-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.