Active NPI
Onyeyirichi Okereke
- Family Nurse Practitioner
- Randolph, MA
National Provider Identifier
1649762923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2273949
- Practice address
- 10 Frederickson Dr
Randolph, MA 02368-5510 - Phone
- (617) 347-4734
- NPI assigned
- Jun 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2273949 | MA | Primary |
Addresses
Primary practice location
10 Frederickson Dr
Randolph, MA 02368-5510
Mailing address
10 Frederickson Dr
Randolph, MA 02368-5510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649762923 | Other | MA | NURSE PRACTITIONER |
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 |
|---|---|---|---|
| RN2273949 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1649762923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FREDERICKSON DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023685510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 FREDERICKSON DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023685510",
"telephone_number": "617-347-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEREKE",
"first_name": "ONYEYIRICHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2273949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "1649762923",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.