Latia Irene O'Banner, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R162086 Issued in MD

Practice address

4372 Breeders Cup Cir
Randallstown, MD 21133-4049

Phone

(443) 790-0362

NPI assigned

Oct 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Coadvocate Specialists, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Catonsville, MD
  • NPI 1457213100
  NPD Authorized official
• Ideal Healthcare Solutions, LLC

  • Nursing Care Agency
  • Catonsville, MD
  • NPI 1528730439
  NPD Authorized official

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1962787663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4372 BREEDERS CUP CIR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334049",
            "telephone_number": "443-790-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 BREEDERS CUP CIR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334049",
            "telephone_number": "443-790-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANNER",
        "first_name": "LATIA",
        "middle_name": "IRENE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R162086",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN626135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilqis T Nurudeen
• Joy C Nwangwu, PHARMD
• Ogechi Uloma Nwaogu, PHARMD
• Happiness Nwosu, CRNP
• Victorine B Nyamsenkwen, HHA
• Murray Iyke Obanye
• Angela Ochulo
• Ephraim Ocloo
• Godwina Pamela Odigie
• Pamela Jumah Ogeya, FNP

• Registered Nurse in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.