Moriamo Bukola Okegbenro, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11005830 Issued in FL

Practice address

12505 NW 23Rd Ave
Miami, FL 33167-1956

Phone

(786) 202-8100

NPI assigned

Apr 17, 2020

Last updated

Apr 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1386264588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 NW 23RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331671956",
            "telephone_number": "786-202-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 NW 23RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331671956",
            "telephone_number": "786-202-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEGBENRO",
        "first_name": "MORIAMO",
        "middle_name": "BUKOLA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005830",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9290136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Andres Ojeda
• Ojl Behavioral Therapy Corp
• Ojm Support Corp
• Ok Pharmacy, Inc
• Ghada Okasha
• Tayo Okegbenro
• Ian Okeke
• Kayle Okeke, LMHC
• Kenechukwu Okeke, M.D.
• Erin Okelley, RN

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.