John Odoun Tebepah, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

632049 Issued in NY

Practice address

123 Linden Blvd FL 3
Family Services Network
Brooklyn, NY 11226-3888

Phone

(718) 940-9040

Fax

(718) 940-9240

NPI assigned

Oct 23, 2010

Last updated

Oct 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287792000000",
    "number": "1831499904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PENNSYLVANIA AVE APT 17C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391105",
            "telephone_number": "347-595-0208",
            "fax_number": "718-940-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LINDEN BLVD FL 3",
            "address_2": "FAMILY SERVICES NETWORK",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263888",
            "telephone_number": "718-940-9040",
            "fax_number": "718-940-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBEPAH",
        "first_name": "JOHN",
        "middle_name": "ODOUN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-23",
        "last_updated": "2010-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "632049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2010; 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.