Individual provider Active NPI

Josephine Nkechinyere Ezemobi, FNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1831688985
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1023962 Issued in DC
Practice address
1275 Pennsylvania Ave NW
Washington, DC 20004-2404
Phone
(202) 638-4583
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1023962 DC Primary

Addresses

Primary practice location

1275 Pennsylvania Ave NW
Washington, DC 20004-2404

Mailing address

811 Festival CT
Bowie, MD 20721-3170
Phone (301) 503-4124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180620001730 DC Practitioner - Nurse Practitioner 5991050643 Reassigns benefits to 1 organization
I20241104003222 MD Practitioner - Nurse Practitioner 5991050643 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services MD LLC CurrentSince Dec 6, 2024 Accepting new patients
Curana Health of Maryland LLC CurrentSince Oct 2, 2024 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

4907 Rugby Ave
Bethesda, MD 20814
Phone (240) 558-5605

7600 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 317-6576

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1831688985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 FESTIVAL CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213170",
            "telephone_number": "301-503-4124",
            "fax_number": "301-503-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042404",
            "telephone_number": "202-638-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEMOBI",
        "first_name": "JOSEPHINE",
        "middle_name": "NKECHINYERE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1023962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.