Active NPI
Ifeoma Ezenwelu, NP
- Psychiatry Physician
- Salem, MA
National Provider Identifier
1912877457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1179885
- Practice address
- Salem Hospital, 81 Highland Avenue
Salem, MA 01970 - Phone
- (334) 590-6574
- NPI assigned
- Nov 10, 2025
- Last updated
- Nov 10, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1179885 | TX | Primary |
Addresses
Primary practice location
Salem Hospital, 81 Highland Avenue
Salem, MA 01970
Mailing address
Salem Hospital, 81 Highland Avenue
Salem, MA 01970
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179885 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1912877457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SALEM HOSPITAL, 81 HIGHLAND AVENUE",
"city": "SALEM",
"state": "MA",
"postal_code": "01970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SALEM HOSPITAL, 81 HIGHLAND AVENUE",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "334-590-6574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZENWELU",
"first_name": "IFEOMA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "1179885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.