Omowumi Susan Awe-Odigie

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

479075-1 Issued in NY

Practice address

25721 145TH Ave
Rosedale, NY 11422-3314

Phone

(718) 978-6841

Fax

(718) 978-6841

NPI assigned

Jan 30, 2012

Last updated

Jan 30, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Diva Multicare Services Inc.

  • Nursing Care Agency
  • Rosedale, NY
  • NPI 1528562881
  NPD Authorized official

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1417229097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25721 145TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223314",
            "telephone_number": "718-978-6841",
            "fax_number": "718-978-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25721 145TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223314",
            "telephone_number": "718-978-6841",
            "fax_number": "718-978-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWE-ODIGIE",
        "first_name": "OMOWUMI",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "479075-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Austin, PTA
• Karja Austin
• Marie E. Austin, LCSW
• Autesh Therapy Services, LCSW, PLLC
• Ava's Pharmacy Inc
• Martha Akua Awotwe
• Tameeka N Bacchus
• Shannon Bailey, OTR/L
• Julieann Baker
• Anacia Bakker

• Registered Nurse in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.