OMAKA MOKAMBE (NPI# 1306259718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306259718 |
| Entity Type | Individual |
| Full Name | OMAKA MOKAMBE |
| Practice Address |
47915 Thornwood St Apt 11103 Wixom MI 48393 |
| Mailing Address |
47915 Thornwood St Apt 11103 Wixom MI 48393-2618 |
| Practice Telephone | 2487905926 |
| Mailing Telephone | 2487905926 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703111051 | MI | Nursing Service Providers |
| Street Address |
47915 THORNWOOD ST APT 11103 |
| City | WIXOM |
| State | MI |
| Zip Code | 48393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
| 1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
| 1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1629148853 | J & B Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W Pontiac Trail, Wixom, MI 48393 | 2006-11-08 |
| 1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| 1376600478 | Ronald C. Hackett | Dentist | 646 Wixom Road, Wixom, MI 48393-0312 | 2007-01-02 |
| Find all providers in zip 48393 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518310218 | Maureen Ogbu | Licensed Practical Nurse | 30941 Tamarack St Apt 32202, Wixom, MI 48393-2757 | 2016-07-18 |
| 1861870800 | Kim Hinzman | Licensed Practical Nurse | 3339 Theodore St, Wixom, MI 48393-2059 | 2015-05-11 |
| 1730573247 | Tory Deriso | Licensed Practical Nurse | 27026 Meadowood Dr Apt 204, Wixom, MI 48393-3271 | 2015-03-23 |
| 1487043311 | Renee Schultz | Licensed Practical Nurse | 2090 Devonshire Dr, Wixom, MI 48393-4412 | 2015-01-15 |
| 1538561246 | Elvira Shani | Licensed Practical Nurse | 31161 Wildwood St Apt 6209, Wixom, MI 48393-2629 | 2014-09-24 |
| 1437562840 | Diana Nchamukong | Licensed Practical Nurse | 27034 Sprucewood Dr Apt 102, Wixom, MI 48393-3275 | 2014-06-04 |
| 1629496450 | Felicia Marshall | Licensed Practical Nurse | 30830 Stone Ridge Dr, Apt 6116, Wixom, MI 48393-3809 | 2014-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
| 1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.