Innocent Ken Ike

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

63 Rivercoach LN
Sugar Land, TX 77479-5545

Phone

(832) 359-7755

Fax

(281) 565-5705

NPI assigned

Mar 30, 2011

Sex

Male

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

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1447549407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 RIVERCOACH LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 RIVERCOACH LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795545",
            "telephone_number": "832-359-7755",
            "fax_number": "281-565-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKE",
        "first_name": "INNOCENT",
        "middle_name": "KEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinyere Roseline Ihejirika, PMHNP
• Adanma Ihekwoaba
• Joyce Ihekwoaba, RN
• Sam Chukwuemeka Ihekwoaba
• Pauline Anwulika Ijeh, FNP
• Anthonia Onyinye Ikegulu
• Oguejiofor S Ikemefuna
• Sokari M Iketubosin
• Ruth Ikobe, NP
• Magdalene Williams Ikott

• Community Health Worker in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.