Individual provider Active NPI

Olisadumbi Okoh, RN

  • Registered Nurse
  • Haverford, PA
National Provider Identifier
1710461587
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN691521 Issued in PA
Practice address
370 Lancaster Ave
Haverford, PA 19041-1336
Phone
(610) 896-4924
Fax
(610) 896-1090
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN691521 PA Primary

Addresses

Primary practice location

370 Lancaster Ave
Haverford, PA 19041-1336

Mailing address

370 Lancaster Ave
Haverford, PA 19041-1336
Phone (610) 896-4924

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

LicenseStateTypeSpecialty
RN691521PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Haverford College Health Services Past Accepting new patients

Organizations & group practices 1

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1710461587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411336",
            "telephone_number": "610-896-4924",
            "fax_number": "610-896-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411336",
            "telephone_number": "610-896-4924",
            "fax_number": "610-896-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOH",
        "first_name": "OLISADUMBI",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN691521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.