Individual provider Active NPI

Florence Woberaere Ejiowhor, RN, ADMINISTRATOR

  • Registered Nurse
  • Orlando, FL
National Provider Identifier
1396255139
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN3421032 Issued in FL
Practice address
2119 Beacon Landing Cir
Orlando, FL 32824-4374
Phone
(407) 497-1243
Fax
(407) 696-0387
NPI assigned
Oct 6, 2017
Last updated
Oct 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN3421032 FL Primary

Addresses

Primary practice location

2119 Beacon Landing Cir
Orlando, FL 32824-4374

Mailing address

753 Night Owl CT
Winter Springs, FL 32708-5139
Phone (407) 497-1243

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN3421032FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Evelyn's Home Assisted Living LLC Past Accepting new patients

Organizations & group practices 1

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": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1396255139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 NIGHT OWL CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085139",
            "telephone_number": "407-497-1243",
            "fax_number": "407-696-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 BEACON LANDING CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244374",
            "telephone_number": "407-497-1243",
            "fax_number": "407-696-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJIOWHOR",
        "first_name": "FLORENCE",
        "middle_name": "WOBERAERE",
        "credential": "RN, ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3421032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.