Heidi Okpebholo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0038138 Issued in OH

Practice address

1 Colonial CT
Hainesport, NJ 08036-2636

Phone

(732) 589-5784

NPI assigned

Apr 29, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1861280752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLONIAL CT",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362636",
            "telephone_number": "732-589-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLONIAL CT",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362636",
            "telephone_number": "732-589-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPEBHOLO",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15295900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0038138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North American Medical Associates-Ny LLC
• North American Vein & Artery LLC
• Gary Thomas Noseworthy, D.C.
• Oaks Integrated Care
• Ugoada Okigbo, B.A.
• Raquel Anna Ortiz, BA
• Rhea Owens
• Natasha Patel
• Revti Patel, PA-C
• Nomora Pearyer

• Family Nurse Practitioner in Hainesport, NJ
• Providers in Hainesport, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.