Individual provider Active NPI

Nkechi Okeh, R166043

  • Primary Care Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1407460421
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R166043 Issued in MD
Practice address
9603 Glenkirk Way
Bowie, MD 20721-2998
Phone
(301) 792-6478
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R166043 MD Primary

Addresses

Primary practice location

9603 Glenkirk Way
Bowie, MD 20721-2998

Mailing address

9603 Glenkirk Way
Bowie, MD 20721-2998
Phone (301) 792-6478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250123001433 MD Practitioner - Nurse Practitioner 3173052966 Reassigns benefits to 1 organization
I20250123001752 DC Practitioner - Nurse Practitioner 3173052966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R166043MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimize Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDDIBA/Endpoint/GDDIBA

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, 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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1407460421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 GLENKIRK WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212998",
            "telephone_number": "301-792-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9603 GLENKIRK WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212998",
            "telephone_number": "301-792-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEH",
        "first_name": "NKECHI",
        "credential": "R166043",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R166043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.