Stephanie Ogunbayo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

657287 Issued in NY

Practice address

638 Preservation TRL
Unite C
Webster, NY 14580-4908

Phone

(773) 501-4710

NPI assigned

Sep 27, 2012

Last updated

Sep 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1700137072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 PRESERVATION TRL",
            "address_2": "UNITE C",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804908",
            "telephone_number": "773-501-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 PRESERVATION TRL",
            "address_2": "UNITE C",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804908",
            "telephone_number": "773-501-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNBAYO",
        "first_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Webster, NY
• Providers in Webster, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.