Individual provider Active NPI

Cordelia C Okwuosah, FNP-BC

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1578867966
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19862 Issued in CA
Practice address
3408 S Atlantic Ave # 1012
Daytona Beach, FL 32118-6311
Phone
(386) 227-7580
Fax
(619) 367-0419
NPI assigned
Dec 29, 2010
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000816 FL
Family Nurse Practitioner 363LF0000X 19862 CA Primary

Addresses

Primary practice location

3408 S Atlantic Ave # 1012
Daytona Beach, FL 32118-6311

Mailing address

3408 S Atlantic Ave # 1012
Daytona Beach Shores, FL 32118-6311
Phone (386) 227-7580

Other identifiers 1

IdentifierTypeStateIssuer
1578867966OtherCANPI

Other names 1

  • Cordelia Chinelo Dowdy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629002991 FL Practitioner - Nurse Practitioner 8820261381 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Heal Precisely of Northside LLC CurrentSince Feb 20, 2025 Accepting new patients
Wound Care Physicians of Tampa Bay LLC CurrentSince Feb 21, 2025 Accepting new patients
Saberi Advanced Wound Care LLC CurrentSince Feb 21, 2025 Accepting new patients
United Care Team PLLC CurrentSince Sep 1, 2025 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Dec 1, 2023 Accepting new patients
Hni Medical Services of Florida, LLC CurrentSince Jun 1, 2023 Accepting new patients
Housecall Doctors Medical Group Inc Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405

5880 49th St N
Ste N203
St Petersburg, FL 33709
Phone (727) 300-0405

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1578867966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 S ATLANTIC AVE # 1012",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321186311",
            "telephone_number": "386-227-7580",
            "fax_number": "619-367-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 S ATLANTIC AVE # 1012",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321186311",
            "telephone_number": "386-227-7580",
            "fax_number": "619-367-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUOSAH",
        "first_name": "CORDELIA",
        "middle_name": "C",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000816",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578867966",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORDELIA",
            "last_name": "DOWDY",
            "middle_name": "CHINELO",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.