Active NPI
Ernie Okorie
- Contractor
- Alexandria, VA
National Provider Identifier
1902429715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 5270 Duke St
Alexandria, VA 22304-2943 - Phone
- (703) 655-2804
- NPI assigned
- May 27, 2020
- Last updated
- May 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
5270 Duke St
Alexandria, VA 22304-2943
Mailing address
PO Box 2231
Centreville, VA 20122-2231
Phone (703) 655-2804
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1902429715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2231",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201222231",
"telephone_number": "703-655-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042943",
"telephone_number": "703-655-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKORIE",
"first_name": "ERNIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.