Iifeoma P Ogbalu

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

360 W Boylston St RM 216
West Boylston, MA 01583-2368

Phone

(774) 420-8732

NPI assigned

Apr 18, 2023

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maggie Jentzen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1871280180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BOYLSTON ST RM 216",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832368",
            "telephone_number": "774-420-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BOYLSTON ST RM 216",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832368",
            "telephone_number": "774-420-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 W Boylston St Rm 216",
            "address_purpose": "LOCATION",
            "city": "West Boylston",
            "state": "MA",
            "postal_code": "015832368",
            "country_code": "US",
            "telephone_number": "774-420-8732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 W Boylston St Rm 216",
            "address_purpose": "LOCATION",
            "city": "West Boylston",
            "state": "MA",
            "postal_code": "015832368",
            "country_code": "US",
            "telephone_number": "774-261-4232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBALU",
        "first_name": "IIFEOMA",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "JENTZEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Foster Solomon Nkrumah
• Rachel Noone
• Barbara Mae Nordstrom, LICSW
• Erica O'Connor
• Nancy Russell O'Connor, MS,CCC-SLP
• Daniela Eliz Oliveras
• Naomi Osei-Owusu
• Nelson Otim
• Hope Julia Parker
• Pediatric Behavioral Health, LLC

• Homemaker in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Homemaker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.