Individual provider Active NPI

Precious Obianuju Enyinna-Okorie

  • Home Health Aide
  • District Heights, MD
National Provider Identifier
1821556630
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14287 Issued in DC
Practice address
6431 Pennsylvania Ave Apt 201
District Heights, MD 20747-3019
Phone
(667) 786-0319
NPI assigned
Mar 11, 2019
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA14287 DC Primary

Addresses

Primary practice location

6431 Pennsylvania Ave Apt 201
District Heights, MD 20747-3019

Mailing address

6431 Pennsylvania Ave Apt 201
District Heights, MD 20747-3019
Phone (667) 786-0319

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
HHA14287DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1821556630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 PENNSYLVANIA AVE APT 201",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473019",
            "telephone_number": "667-786-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 PENNSYLVANIA AVE APT 201",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473019",
            "telephone_number": "667-786-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYINNA-OKORIE",
        "first_name": "PRECIOUS",
        "middle_name": "OBIANUJU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.