IFREKE UDODONG (NPI# 1487180972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487180972 |
| Entity Type | Individual |
| Full Name | IFREKE UDODONG |
| Practice Address |
1310 Southern Ave Se Washington DC 20032-4623 |
| Practice Telephone | 2025746000 |
| Mailing Telephone | 2025746000 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN172428 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN1003365 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1310 SOUTHERN AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748008 | Ker-shi Wang | Anesthesiology | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2005-08-30 |
| 1962000935 | Jane Francis Ndenka | Nurse Practitioner | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2020-10-13 |
| 1295355436 | Tonia Johnson | Physical Therapist | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2020-04-17 |
| 1023668746 | Yuri Paredes | Nurse Practitioner | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2019-09-14 |
| 1265995120 | Excel Care LLC | Pharmacy | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2019-04-08 |
| 1528522984 | Kaitlyn L Stockton | Speech-Language Pathologist | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2019-01-29 |
| 1043783905 | Qualinova Care Inc | Hospitalist | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2019-01-03 |
| 1689157331 | Gedeon Longtchi | Nurse Practitioner | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2018-09-10 |
| 1851806012 | Me & 2ns, LLC | Internal Medicine | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2017-12-11 |
| 1710408885 | Olivia Anaele-nwogu | Nurse Practitioner | 1310 Southern Ave Se, Washington, DC 20032 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366718082 | Anecia Suneja | Clinical Nurse Specialist | 1717 K St Nw, Washington, DC 20036-5342 | 2012-03-27 |
| 1699952648 | Becky C. Cockerill | Clinical Nurse Specialist | 50 Irving St Nw, Washington, DC 20422-0001 | 2008-01-22 |
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on IFREKE UDODONG.
| 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.