Active NPI
Ifeoma O Obi, RN
- Registered Nurse
- New Berlin, WI
National Provider Identifier
1700041373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 157236-030
- Practice address
- 13705 W Green Meadow Dr
New Berlin, WI 53151-3135 - Phone
- (262) 786-6974
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 157236-030 | WI | Primary |
Addresses
Primary practice location
13705 W Green Meadow Dr
New Berlin, WI 53151-3135
Mailing address
4830 N 47TH St
Milwaukee, WI 53218-4414
Phone (414) 732-8731
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
| License | State | Type | Specialty |
|---|---|---|---|
| 157236-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1700041373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 N 47TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184414",
"telephone_number": "414-732-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13705 W GREEN MEADOW DR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531513135",
"telephone_number": "262-786-6974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBI",
"first_name": "IFEOMA",
"middle_name": "O",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "157236-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
- Evan Norum, D.C.
- Alexander Nwachukwu, R.N
- Michael Oliver Nyhart, MSW
- Ilona O'Driscoll
- Magdalena Oberschlake, PHARMD
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest P.a.
- Joseph Ogden, PT, DPT
- Olubunmi Abiola Olorundami, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.