Active NPI
Sonia Uchechukwu Okolo, PA-C
- Adult Medicine Physician
- Washington, DC
National Provider Identifier
1679239206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- PA200001327
- Practice address
- 915 N St SE BLDG 175
Washington, DC 20374-5162 - Phone
- (024) 332-6402
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110008232 | VA | |
| Adult Medicine Physician | 207QA0505X | PA200001327 | DC | Primary |
Addresses
Primary practice location
915 N St SE BLDG 175
Washington, DC 20374-5162
Mailing address
915 N St SE BLDG 175
Washington, DC 20374-5162
Phone (202) 433-6364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 20, 2022 through Apr 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200001327 | DC | MD | Adult Medicine Physician |
| 0110008232 | VA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1679239206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N ST SE BLDG 175",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203745162",
"telephone_number": "202-433-6364",
"fax_number": "202-433-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N ST SE BLDG 175",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203745162",
"telephone_number": "024-332-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOLO",
"first_name": "SONIA",
"middle_name": "UCHECHUKWU",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2024-07-02",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008232",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "DC",
"license": "PA200001327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.