Individual provider Active NPI

Fidelis U Okoro, CEO/OWNER

  • Non-emergency Medical Transport (VAN)
  • New Orleans, LA
National Provider Identifier
1689185845
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
A827500 Issued in LA
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

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
822675605MedicaidLA
007848835MedicaidLA

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

LicenseStateTypeSpecialty
A827500LAMDNon-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.

Verify at the official NPI Registry.