Active NPI
Fidelis U Okoro, CEO/OWNER
- Non-emergency Medical Transport (VAN)
- New Orleans, LA
National Provider Identifier
1689185845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- A827500
- Practice address
- 7240 Crowder Blvd Ste 300I
New Orleans, LA 70127-1923 - Phone
- (504) 914-1248
- Fax
- (985) 605-7207
- NPI assigned
- Oct 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | A827500 | LA | Primary |
Addresses
Primary practice location
7240 Crowder Blvd Ste 300I
New Orleans, LA 70127-1923
Mailing address
1605 Ellingsworth Dr
Slidell, LA 70461-4550
Phone (504) 914-1248
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822675605 | Medicaid | LA | |
| 007848835 | Medicaid | LA |
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 |
|---|---|---|---|
| A827500 | LA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1689185845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 ELLINGSWORTH DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614550",
"telephone_number": "504-914-1248",
"fax_number": "986-605-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7240 CROWDER BLVD STE 300I",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701271923",
"telephone_number": "504-914-1248",
"fax_number": "985-605-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKORO",
"first_name": "FIDELIS",
"middle_name": "U",
"name_prefix": "Mr.",
"credential": "CEO/OWNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-16",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "LA",
"license": "A827500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "822675605",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007848835",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.