Individual provider Active NPI

Mary Nnene Okeiyi, R.N.

  • Registered Nurse
  • Chicago, IL
National Provider Identifier
1659738706
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041437354 Issued in IL
Practice address
1845 S Michigan Ave
Unit 1009
Chicago, IL 60616-5522
Phone
(312) 925-8283
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041437354 IL Primary

Addresses

Primary practice location

1845 S Michigan Ave
Unit 1009
Chicago, IL 60616-5522

Mailing address

1845 S Michigan Ave
Unit 1009
Chicago, IL 60616-5522
Phone (312) 925-8283

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041437354ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1659738706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S MICHIGAN AVE",
            "address_2": "UNIT 1009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165522",
            "telephone_number": "312-925-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S MICHIGAN AVE",
            "address_2": "UNIT 1009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165522",
            "telephone_number": "312-925-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEIYI",
        "first_name": "MARY",
        "middle_name": "NNENE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041437354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.