Active NPI
Anita Ngozi Obidigbo, DNP, AGPCNP
- Primary Care Nurse Practitioner
- West Hartford, CT
National Provider Identifier
1700558608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 10209
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Alignmed Medical Group, PC | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | 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.
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- NPI 1366289423
CT
-
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- Gardendale, AL
- NPI 1881109452
CT
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.