Active NPI
Ovie Fred Okotie
- Licensed Practical Nurse
- Fairfield, OH
National Provider Identifier
1467698126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN. 129465
- Practice address
- 157 Woodstock Dr
Fairfield, OH 45014-5244 - Phone
- (513) 679-1062
- NPI assigned
- Dec 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 129465 | OH | Primary |
Addresses
Primary practice location
157 Woodstock Dr
Fairfield, OH 45014-5244
Mailing address
9349 Oliver Knoll CT
Fairfield, OH 45014-9217
Phone (513) 679-1062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN. 129465 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1467698126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9349 OLIVER KNOLL CT",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450149217",
"telephone_number": "513-679-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 WOODSTOCK DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145244",
"telephone_number": "513-679-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOTIE",
"first_name": "OVIE",
"middle_name": "FRED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-31",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN. 129465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
- Og Medical Services, LLC
- Ohio CVS Stores LLC (CVS Pharmacy #06080)
- Ohio Dental Professionals, Delisle, P.C. (Afinia Dental - Orchard Hill-Fairfield)
- Ohio Valley Orthopaedics and Sports Medicine, Inc
- Ohio Valley Orthopaedics and Sports Medicine, Inc
- Michael D Olding
- Riva Oliphant, CDCA
- Cassandra Kay Olivares, LPN
- Jimoh Jawara Oloro, CEO/MD
- Matalyn D Olvera, LISW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.