Individual provider Active NPI

Celestina Ojirinnaka

  • Family Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1740847805
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R180997 Issued in MD
Practice address
2714 Lake Forest Dr
Upper Marlboro, MD 20774-8854
Phone
(301) 651-5326
NPI assigned
May 23, 2019
Last updated
May 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R180997 MD Primary

Addresses

Primary practice location

2714 Lake Forest Dr
Upper Marlboro, MD 20774-8854

Mailing address

2714 Lake Forest Dr
Upper Marlboro, MD 20774-8854
Phone (301) 651-5326

Other identifiers 1

IdentifierTypeStateIssuer
R180997OtherMDCRNP-FAMILY

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

State licenses

LicenseStateTypeSpecialty
R180997MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1740847805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 LAKE FOREST DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748854",
            "telephone_number": "301-651-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 LAKE FOREST DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748854",
            "telephone_number": "301-651-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJIRINNAKA",
        "first_name": "CELESTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R180997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP-FAMILY",
            "identifier": "R180997",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.