Eva Ibrahim, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN432192 Issued in OH

Practice address

1911 Ohio Ave
Youngstown, OH 44504-1822

Phone

(330) 907-2901

Fax

(234) 719-1510

NPI assigned

May 21, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• E4 Medical LLC

  • Administrator Registered Nurse
  • Youngstown, OH
  • NPI 1679309819
  NPD Authorized official

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1851610422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 OHIO AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041822",
            "telephone_number": "330-907-2901",
            "fax_number": "234-719-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 OHIO AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041822",
            "telephone_number": "330-907-2901",
            "fax_number": "234-719-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "EVA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN432192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851610422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• I Am Unique I Am Me LLC
• I C Angels Home Care LLC
• Janine Iacobucci, OCPSA
• Greg Benjamin Iaderosa, DDS
• Jill Iamurri
• Mary Ibrahim
• Michele A Ieraci, APRN-CNP
• John C Igwe, DO, PHD
• Jolene Bixler Ihnat, BSW
• Evelyn Ilori, MD

• Registered Nurse in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.