Active NPI
Minette Ijikarah
- Registered Nurse
- North Potomac, MD
National Provider Identifier
1689470072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R194716
- Practice address
- 15209 Bunchberry CT
North Potomac, MD 20878-2319 - Phone
- (202) 468-1449
- NPI assigned
- Feb 25, 2025
- Last updated
- Feb 25, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R194716 | MD | Primary |
Addresses
Primary practice location
15209 Bunchberry CT
North Potomac, MD 20878-2319
Mailing address
15209 Bunchberry CT
North Potomac, MD 20878-2319
Phone (661) 724-6449
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 |
|---|---|---|---|
| R194716 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1689470072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15209 BUNCHBERRY CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782319",
"telephone_number": "661-724-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15209 BUNCHBERRY CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782319",
"telephone_number": "202-468-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJIKARAH",
"first_name": "MINETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R194716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.