Georgette Mawuena Opoku

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1111154 Issued in MN

Practice address

2430 36TH St S Apt 101
Moorhead, MN 56560-7135

Phone

(218) 443-1298

NPI assigned

Jan 12, 2022

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

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1477204378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 36TH ST S APT 101",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607135",
            "telephone_number": "218-443-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 36TH ST S APT 101",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607135",
            "telephone_number": "218-443-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOKU",
        "first_name": "GEORGETTE",
        "middle_name": "MAWUENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "1111154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Olson, BCBA, LABA
• Sarah Ray Olson
• Stacie Lynn Olson, APRN, ARNP, PMHNP-BC
• Amanda Oney, NP
• Sarah Priscilla Opitz, BA, LSW, LADC
• Paige Orr
• Veronica Ortega
• Jenni Ortmeier, SPEECH LANGUAGE PATH
• Brooke Orvedal
• Christopher Osborn

• Home Health Agency in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.