Active NPI
Ijeoma Nwahiri, ARNP
- Nurse Practitioner
- Bay Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9270246
- Practice address
- Bay Pines VA Healthcare System
10000 Bay Pines Blvd
Bay Pines, FL 33744 - Phone
- (727) 398-6661
- Fax
- (727) 398-9462
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9270246 | FL | Primary |
Addresses
Primary practice location
Bay Pines VA Healthcare System
10000 Bay Pines Blvd
Bay Pines, FL 33744
Mailing address
Bay Pines VA Healthcare System
10000 Bay Pines Blvd
Bay Pines, FL 33744
Phone (727) 398-6661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN9270246 | Other | FL | MEDICAL LICENSE # |
| I1449Z | Other | FL | MCARE ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4728 N Habana Ave
Suite 101B
Tampa, FL 33614-7149
Phone (813) 775-9997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9270246 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Infusion, LLC | Current | Accepting new patients |
Locations
401 Corbett St
Ste 300
Belleair, FL 33756
Phone (727) 442-6007
4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infusion Therapy Clinic/Center
- Tampa, FL
- NPI 1013578442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1932580826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BAY PINES VA HEALTHCARE SYSTEM",
"address_2": "10000 BAY PINES BLVD",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33744",
"telephone_number": "727-398-6661",
"fax_number": "727-398-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAY PINES VA HEALTHCARE SYSTEM",
"address_2": "10000 BAY PINES BLVD",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33744",
"telephone_number": "727-398-6661",
"fax_number": "727-398-9462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAHIRI",
"first_name": "IJEOMA",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2022-02-07",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9270246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "APRN9270246",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE ID #",
"identifier": "I1449Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.