Victoria Ngozi Emelogu, CRNP-ADULT

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R148689 Issued in MD

Practice address

3507 N Rolling Rd
Windsor Mill, MD 21244

Phone

(443) 851-9475

NPI assigned

Feb 22, 2018

Last updated

Jun 18, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1770084998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 N ROLLING RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442203",
            "telephone_number": "443-851-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 N ROLLING RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "443-851-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMELOGU",
        "first_name": "VICTORIA",
        "middle_name": "NGOZI",
        "credential": "CRNP-ADULT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R148689",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R148659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ejemeh Okojie MD PA Inc. (Woodlawn Pediatric)
• Elitekare LLC Residential Healthcare Agency
• Humna Ellahi
• Elythora Veranis Quorveth LLC
• Embraced Grace Counseling & Consulting, LLC
• Eminent One Inc.
• Laura Emmanuel-Allen, MD
• Empowering Mind Resource Center
• Empowering Minds Resource Center
• Empowering Minds Resource Center

• Adult Health Nurse Practitioner in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Adult Health Nurse Practitioner in Maryland

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