Individual provider Active NPI

Dora Ekwere Ifon, NP

  • Primary Care Nurse Practitioner
  • Washington, DC
National Provider Identifier
1841382702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN55807 Issued in DC
Practice address
Veterans Affairs Medical Center
50 Irving Street, NW
Washington, DC 20422
Phone
(202) 745-8000
Fax
(202) 745-2209
NPI assigned
Sep 29, 2006
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
Primary Care Nurse Practitioner 363LP2300X RN55807 DC Primary

Addresses

Primary practice location

Veterans Affairs Medical Center
50 Irving Street, NW
Washington, DC 20422

Mailing address

7819 Aylesford Lane
Laurel, MD 20707

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN55807DCMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841382702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 AYLESFORD LANE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VETERANS AFFAIRS MEDICAL CENTER",
            "address_2": "50 IRVING STREET, NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20422",
            "telephone_number": "202-745-8000",
            "fax_number": "202-745-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFON",
        "first_name": "DORA",
        "middle_name": "EKWERE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DC",
            "license": "RN55807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

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.