Active NPI
Promise Ebuka Okonkwo, HIS
- Hearing Instrument Specialist
- Highland, IN
National Provider Identifier
1487515425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001676A
- Practice address
- 2148 45TH St
Highland, IN 46322-3742 - Phone
- (219) 922-4633
- NPI assigned
- Nov 19, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001676A | IN | Primary |
Addresses
Primary practice location
2148 45TH St
Highland, IN 46322-3742
Mailing address
2148 45TH St
Highland, IN 46322-3742
Phone (219) 922-4633
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 |
|---|---|---|---|
| 17001676A | IN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1487515425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2148 45TH ST",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463223742",
"telephone_number": "219-922-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2148 45TH ST",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463223742",
"telephone_number": "219-922-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKONKWO",
"first_name": "PROMISE",
"middle_name": "EBUKA",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-19",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001676A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.