Individual provider Active NPI

Ogechukwu Ezeokoli

  • Nurse's Aide
  • Silver Spring, MD
National Provider Identifier
1902412745
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00178907 Issued in MD
Practice address
13708 Colgate Way Apt 1311
Silver Spring, MD 20904-7425
Phone
(240) 713-1689
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00178907 MD Primary

Addresses

Primary practice location

13708 Colgate Way Apt 1311
Silver Spring, MD 20904-7425

Mailing address

13708 Colgate Way Apt 1311
Silver Spring, MD 20904-7425
Phone (240) 713-1689

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

State licenses

LicenseStateTypeSpecialty
A00178907MDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1902412745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 COLGATE WAY APT 1311",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047425",
            "telephone_number": "240-713-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13708 COLGATE WAY APT 1311",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047425",
            "telephone_number": "240-713-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEOKOLI",
        "first_name": "OGECHUKWU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00178907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.