Active NPI
Onosiomuzana Nerisa Aigbokhaode
- Registered Nurse
- Atlanta, GA
National Provider Identifier
1992493837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9625197
- Practice address
- 705 Juniper St NE
Atlanta, GA 30308-1307 - Phone
- (717) 353-0234
- NPI assigned
- Apr 27, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9625197 | FL | Primary |
Addresses
Primary practice location
705 Juniper St NE
Atlanta, GA 30308-1307
Mailing address
3910 Kesler CT
Cumming, GA 30040-1889
Phone (470) 456-1155
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9625197 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1992493837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 KESLER CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300401889",
"telephone_number": "470-456-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 JUNIPER ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081307",
"telephone_number": "717-353-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIGBOKHAODE",
"first_name": "ONOSIOMUZANA",
"middle_name": "NERISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9625197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.