Active NPI
Priscilla Owusu Obeng, REGISTERED NURSE
- Home Health Registered Nurse
- Dumfries, VA
National Provider Identifier
1477867414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- HCO-11719
- Practice address
- 17902 Main St
Dumfries, VA 22026-2466 - Phone
- (703) 597-1426
- Fax
- (703) 763-7691
- NPI assigned
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 0001180400 | VA | |
| Nurse's Aide | 376K00000X | 00011480400 | VA | |
| Home Health Registered Nurse | 163WH0200X | HCO-11719 | VA | Primary |
Addresses
Primary practice location
17902 Main St
Dumfries, VA 22026-2466
Mailing address
17902 Main St
Dumfries, VA 22026-2466
Phone (703) 597-1426
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 |
|---|---|---|---|
| 0001180400 | VA | MD | Home Health Registered Nurse |
| HCO-11719 | VA | MD | Home Health Registered Nurse |
| 00011480400 | VA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295222400000",
"number": "1477867414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17902 MAIN ST",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262466",
"telephone_number": "703-597-1426",
"fax_number": "703-763-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17902 MAIN ST",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262466",
"telephone_number": "703-597-1426",
"fax_number": "703-763-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBENG",
"first_name": "PRISCILLA",
"middle_name": "OWUSU",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2011-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VA",
"license": "0001180400",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "VA",
"license": "00011480400",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VA",
"license": "HCO-11719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.