OKEY ILOEGBUNAM (NPI# 1477072130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477072130 |
| Entity Type | Individual |
| Full Name | OKEY ILOEGBUNAM |
| Credential | FNP |
| Practice Address |
1510 E Wagon Wheel Ln Ste 110 Fort Mohave AZ 86426-6698 |
| Mailing Address |
Po Box 10966 Fort Mohave AZ 86427-0966 |
| Practice Telephone | 9287883333 |
| Practice Fax Number | 9287883555 |
| Mailing Telephone | 9287883333 |
| Mailing Fax Number | 9287883555 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
AP10673 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | AP10673 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10673 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 339857 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1987 Mcculloch Blvd N Ste 101, Lake Havasu City, AZ 864035770 | 9287883333 | 9287883555 |
| Street Address |
1510 E WAGON WHEEL LN STE 110 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-6698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780804583 | William R Kelley Md Prof Corp | Radiology | 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426-6698 | 2007-04-26 |
| 1326558222 | Catherine R Nevels | Pain Medicine | 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426-6698 | 2017-10-05 |
| 1649598426 | Tri-state Medical Specialists LLC | Anesthesiology | 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426-6698 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912486523 | Clifford J Bragg | Nurse Practitioner | 5225 S Highway 95 Ste 6, Fort Mohave, AZ 86426-9111 | 2018-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023339 | Flor Avila Fimbres | Nurse Practitioner | 5418 W Placita Del Risco, Tucson, AZ 85745-9550 | 2020-11-04 |
| 1205435781 | April Michelle Power | Nurse Practitioner | 198 S Coronado Dr Ste D, Sierra Vista, AZ 85635-6357 | 2020-10-26 |
| 1861091514 | Restoration Dermatology Lounge LLC | Nurse Practitioner | 8753 E Bell Rd Ste D101, Scottsdale, AZ 85260-1307 | 2020-10-23 |
| 1699374371 | Kelley Brooke Corl | Nurse Practitioner | 872 S Pheasant Dr, Gilbert, AZ 85296-0440 | 2020-10-22 |
| 1225637184 | Amy Chan Matchett | Nurse Practitioner | 2754 W Checkerspot Dr, Tucson, AZ 85741-5255 | 2020-10-21 |
| 1013514348 | Alecia L Brown | Nurse Practitioner | 1099 W Calle Del Libro Dorado, Sahuarita, AZ 85629-8148 | 2020-10-09 |
| 1912504812 | Jason Allen Vincent | Nurse Practitioner | 4970 N Azul Cir, Litchfield Park, AZ 85340-2734 | 2020-10-04 |
| 1376150219 | Whitney Griffin | Nurse Practitioner | 2700 N Hayden Rd Apt 1093, Scottsdale, AZ 85257-1750 | 2020-09-24 |
| 1114539335 | Kimberly Harken | Nurse Practitioner | 2270 S Ridgeview Dr Ste 300, Yuma, AZ 85364-8866 | 2020-08-19 |
| 1558972752 | Iva Tirres | Nurse Practitioner | 11000 N Scottsdale Rd Ste 110, Scottsdale, AZ 85254-6168 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
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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.