Stella Ifeyinwa Odimegwu

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1003997 Issued in DC

Practice address

6856 Eastern Ave NW
Maxim Healthcare Services
Washington, DC 20012-2165

Phone

(240) 667-1186

Fax

(240) 667-1186

NPI assigned

Jan 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stela Ifeyinwa Eluma Former name

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": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1629491436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "address_2": "MAXIM HEALTHCARE SERVICES",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "240-667-1186",
            "fax_number": "240-667-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "address_2": "MAXIM HEALTHCARE SERVICES",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "240-667-1186",
            "fax_number": "240-667-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIMEGWU",
        "first_name": "STELLA",
        "middle_name": "IFEYINWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1003997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELA",
            "last_name": "ELUMA",
            "middle_name": "IFEYINWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stella Uche Odidika
• Osazee Conrad Odigie
• Rufina Nwanneka Odigwe, M.D
• Cecilia Chinwe Odilatu
• Maudline U Odilatu
• Elizabeth Odipe
• Isaac O Odivbri
• Joy Odiri Odivbri
• Ovie Charles Odivbri
• Keith Allon Odle Jr.

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.