Ninian Ikekwem

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

408418 Issued in NY

Practice address

639 Exchange Street Rd
Attica, NY 14011-9647

Phone

(585) 591-2000

NPI assigned

Apr 20, 2026

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

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1467397281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209998",
            "telephone_number": "180-027-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 EXCHANGE STREET RD",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140119647",
            "telephone_number": "585-591-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEKWEM",
        "first_name": "NINIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reed P Haag, M.D.
• Rachel Jo Harmon, OTR/L
• Tara L Hay, LCSW-R
• Theresa Lee Houghton, PTA
• Necole Marie Hubbard, OTR/L
• Tricia Janes, LMSW
• Ned C Jordan, RPA-C
• Young Sung Jun, M.D.
• Julie Ann Kelsey, LPN
• Omar S Khokhar, MD

• Psychiatric/Mental Health Nurse Practitioner in Attica, NY
• Providers in Attica, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.