Iniobong Nnamdie Ukpong

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8633 Issued in MN

Practice address

6066 59TH Ave S
Fargo, ND 58104-5729

Phone

(832) 351-0062

NPI assigned

Oct 9, 2021

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Brightbridge Services LLC

  • Personal Care Attendant
  • Richmond, TX
  • NPI 1922974021
  NPD Authorized official

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1467114249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6066 59TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045729",
            "telephone_number": "832-351-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 59TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045729",
            "telephone_number": "832-351-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKPONG",
        "first_name": "INIOBONG",
        "middle_name": "NNAMDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ugelstad, PMHNP-BC
• Marvin Lewis Ugland, DDS
• Sarah Uglem, PA-C
• Timothy P Uglem, DPM
• Sarah Uhler, LMT
• Amy E Ulbricht, NP-C
• Dorian Ulibarri-Filkins
• Bradley James Ulland, O.D.
• Erin Nicole Ulmer, SLP
• McKenzie Jade Ulmer

• Family Nurse Practitioner in Fargo, ND
• Providers in Fargo, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.