Individual provider Active NPI

Sherri Arnise Okpodu, RN

  • Registered Nurse
  • Atlanta, GA
National Provider Identifier
1790806016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN103315 Issued in GA
Practice address
30 Warren St SE
Atlanta, GA 30317-2267
Phone
(404) 370-7360
Fax
(404) 370-7379
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN103315 GA Primary

Addresses

Primary practice location

30 Warren St SE
Atlanta, GA 30317-2267

Mailing address

2721 Waterford Club Dr
Lithia Springs, GA 30122-4413
Phone (404) 370-7360

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
RN103315GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790806016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 WATERFORD CLUB DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301224413",
            "telephone_number": "404-370-7360",
            "fax_number": "404-370-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARREN ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172267",
            "telephone_number": "404-370-7360",
            "fax_number": "404-370-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPODU",
        "first_name": "SHERRI",
        "middle_name": "ARNISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN103315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.