Cecilia Chinenye Ibezim, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

275749-1 Issued in NY

Practice address

607 Woodbine Ave
Rochester, NY 14619-2037

Phone

(585) 529-5495

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1811221005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WOODBINE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146192037",
            "telephone_number": "585-529-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WOODBINE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146192037",
            "telephone_number": "585-529-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEZIM",
        "first_name": "CECILIA",
        "middle_name": "CHINENYE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "275749-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Ianuzzi, LCSW
• Kevin G. Ibach, M.D.
• Diana Holland Ibanez, ACNP-C
• Ibero American Action League, Inc.
• Ibero American Action Lueage, Inc.
• Gloria Ozioma Ibezim, FAMILY NURSE PRACT
• Ahmed Sayed Ibrahim, MBBS
• Andrew Ibrahim, MD
• Gasser Hesham Saad Ibrahim, BDS
• George Ibrahim, MD

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.