Victoria Ukamaka Ifedi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

500763 Issued in NC

Practice address

16725 Winston Oaks CT
Charlotte, NC 28213-5206

Phone

(704) 534-1035

NPI assigned

Nov 21, 2014

Last updated

Nov 21, 2014By the provider in NPPES

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

Practice roles

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.

• Calvary Community Medical

  • Primary Care Clinic/Center
  • Charlotte, NC
  • NPI 1972905644
  NPD (past)

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1578960332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16725 WINSTON OAKS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135206",
            "telephone_number": "704-534-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16725 WINSTON OAKS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135206",
            "telephone_number": "704-534-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFEDI",
        "first_name": "VICTORIA",
        "middle_name": "UKAMAKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "500763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Home Healthcare Services, LLC
• Rebecca Katherine Iden, PT
• Omar Idlibi, MD
• Jennifer D Idoni, OD, FAAO, FCOVD
• Jamaine Ifedi
• Darlene C Ifill Taylor, MD
• Andrea M Igel, MD
• Andrew Eluonye Ighade, MD
• Ignite South Charlotte LLC (Ignite Medical Resort South Charlotte)
• Igniting Lives Home Care LLC

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.