Active NPI
Nnenna N Obia, NP
- Nurse Practitioner
- Urbana, IL
National Provider Identifier
1376825307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209008987
- Practice address
- 610 N Lincoln Ave
Urbana, IL 61801-2432 - Phone
- (217) 383-6792
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209008987 | IL | Primary |
Addresses
Primary practice location
610 N Lincoln Ave
Urbana, IL 61801-2432
Mailing address
9650 Kris TRL
Orland Park, IL 60462-1597
Phone (217) 383-6792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
IL, Nurse Practitioner
-
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
Nurse Practitioner
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1376825307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 KRIS TRL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621597",
"telephone_number": "217-383-6792",
"fax_number": "217-326-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N LINCOLN AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618012432",
"telephone_number": "217-383-6792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIA",
"first_name": "NNENNA",
"middle_name": "N",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209008987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.