Individual provider Active NPI

Anita Ngozi Obidigbo, DNP, AGPCNP

  • Primary Care Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1700558608
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
10209 Issued in CT
Practice address
1 Emily Way
West Hartford, CT 06107-3136
Phone
(860) 716-5445
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 10209 CT Primary

Addresses

Primary practice location

1 Emily Way
West Hartford, CT 06107-3136

Mailing address

1 Emily Way
West Hartford, CT 06107-3136
Phone (860) 716-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110002582 CT Practitioner - Nurse Practitioner 2264821347 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 8, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 8, 2021 Accepting new patients
Alignmed Medical Group, PC CurrentSince Aug 24, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Oct 8, 2021 Accepting new patients

Locations

1 Glen Hill Rd
Danbury, CT 06811
Phone (203) 744-2840

850 Mix Ave
Hamden, CT 06514
Phone (203) 281-3500

1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022

1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1700558608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMILY WAY",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073136",
            "telephone_number": "860-716-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMILY WAY",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073136",
            "telephone_number": "860-716-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIDIGBO",
        "first_name": "ANITA",
        "middle_name": "NGOZI",
        "credential": "DNP, AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-05-26",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "10209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.