Individual provider Active NPI

Oto-Obong Eduok

  • Primary Care Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1780230474
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
203681 Issued in LA
Practice address
806 Jefferson Ter
New Iberia, LA 70560-5727
Phone
(337) 365-4945
Fax
(337) 560-1359
NPI assigned
Aug 17, 2019
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 203681 LA Primary

Addresses

Primary practice location

806 Jefferson Ter
New Iberia, LA 70560-5727

Mailing address

107 Raven Cliff LN
Broussard, LA 70518-5340
Phone (504) 701-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007002730 LA Practitioner - Nurse Practitioner 2365773249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

806 Jefferson Ter
New Iberia, LA 70560-5727
Phone 3373654945112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
203681LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince May 23, 2023 Accepting new patients
Iberia Comprehensive Community Health Center Inc CurrentSince May 23, 2023 Accepting new patients
Iberia Comprehensive Community Health Center,Inc. Current Accepting new patients
Iberia Comprehensive Community Health Center, Inc. Past Accepting new patients

Locations

1009 Charity St
Abbeville, LA 70510
Phone (337) 893-3443

1002 12th St
Lafayette, LA 70501
Phone (337) 534-0107

1004 Surrey St
Lafayette, LA 70501
Phone (337) 456-6768

298 Nolan Trce
Leesville, LA 71446
Phone (337) 392-0110

1050 N Robinson St
Many, LA 71449
Phone (318) 256-8150

567 Walker St
Merryville, LA 70653
Phone (337) 365-4945

806 Jefferson Ter
New Iberia, LA 70560
Phone (337) 365-4945

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1780230474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RAVEN CLIFF LN",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185340",
            "telephone_number": "504-701-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605727",
            "telephone_number": "337-365-4945",
            "fax_number": "337-560-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDUOK",
        "first_name": "OTO-OBONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "203681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.