Ijunanya Okwuchi Marcum

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703126099 Issued in MI

Practice address

13101 Allen Rd
Building 4 Entrance F
Southgate, MI 48195-2216

Phone

(734) 785-7701

Fax

(734) 287-4602

NPI assigned

Mar 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Ijunanya Okwuchi Marcum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1730454364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28842 BURNING TREE LN",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743004",
            "telephone_number": "313-719-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 ALLEN RD",
            "address_2": "BUILDING 4 ENTRANCE F",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952216",
            "telephone_number": "734-785-7701",
            "fax_number": "734-287-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "IJUNANYA",
        "middle_name": "OKWUCHI",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703126099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IJUNANYA",
            "last_name": "MARCUM",
            "middle_name": "OKWUCHI",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dorothea Manthey
• Shannon Nicole Manuel
• Nichole Marbury, LLPC
• Angelica Marchionda
• Salvatore Gerardo Marchionda
• Juliana Marica
• Joanny Marin
• Lauren Mark, MSW, LLMSW
• Micaela Marozuq
• Cynthia Gail Marshall, MSW, LMSW

• Licensed Practical Nurse in Southgate, MI
• Providers in Southgate, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.