Justina Christina Okougbo, MSN-FNP BC, RN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R208765 Issued in MD

Practice address

1242 12TH St NE Washington D.C.
Washington, DC 20018

Phone

(202) 269-6600

Fax

(240) 467-5795

NPI assigned

Apr 15, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1851910293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 MANDAN RD APT 302",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702852",
            "telephone_number": "202-251-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 12TH ST NE WASHINGTON D.C.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20018",
            "telephone_number": "202-269-6600",
            "fax_number": "240-467-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOUGBO",
        "first_name": "JUSTINA",
        "middle_name": "CHRISTINA",
        "credential": "MSN-FNP BC, RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1242 12th St NE Washington D.C.",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "20018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geraldine Okoro
• Liya Okoro
• Laura Okosun
• Oritsejuone Duane Okotie-Eboh
• Ochuko Okotie
• Amber U Okoye, MD
• Anastacia Okoye
• Cyril Chukwudi Okoye
• George Chika Okoye
• Ginette A Okoye, M.D.

• Family Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Family Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.