MRS. IJEOMA GERTRUDE NWANEBU III (NPI# 1528358850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528358850 |
| Entity Type | Individual |
| Full Name | MRS. IJEOMA GERTRUDE NWANEBU III |
| Credential | BHRS |
| Practice Address |
6804 Nw 135th Cir Oklahoma City OK 73142-5922 |
| Practice Telephone | 4057739230 |
| Mailing Telephone | 4057739230 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| Street Address |
6804 NW 135TH CIR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-5922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952617961 | Leonard Nwadioha Nwanebu | Counselor | 6804 Nw 135th Cir, Oklahoma City, OK 73142-5922 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275946683 | Silvia De Loera | Psychologist | 1416 Nw 126th St, Oklahoma City, OK 73120-5100 | 2014-06-04 |
| 1194075317 | Shanika M Stepeny | Psychologist | 5929 N. May Ave, Suite 218, Oklahoma City, OK 73112-3909 | 2012-09-14 |
| 1295096022 | Erica Antionette Young | Psychologist | 9300 S Indiana Ave, Oklahoma City, OK 73159-7122 | 2012-06-07 |
| 1649530874 | Lakedrick Papa Nii Neequaye | Psychologist | 4209 Nw 23rd St Ste 100, Oklahoma City, OK 73107-2645 | 2012-05-22 |
| 1346500733 | Sha-akeelah V Jones | Psychologist | 4209 N W 23 Rd Ste 100, Oklahoma City, OK 73107 | 2012-05-21 |
| 1598036055 | Sharleen Louise Dewane | Psychologist | 5546 N Portland Ave, Apt 260, Oklahoma City, OK 73112-1913 | 2012-01-14 |
| 1588933428 | Adekunle O Adeleye | Psychologist | 10308 S Klein Ave, Oklahoma City, OK 73139-2970 | 2011-12-21 |
| 1326317678 | Horace Earl Scott Jr. | Psychologist | 3000 N Forest Park Dr, Oklahoma City, OK 73121-2430 | 2011-12-15 |
| 1194092296 | Tashika Maxwell | Psychologist | 608 Nw 97th St, Oklahoma City, OK 73114-6420 | 2011-11-17 |
| 1245514751 | John Brett Mccuan | Psychologist | 3131 Sw 63rd St, Oklahoma City, OK 73159-1209 | 2011-10-03 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
Please comment or provide details below to improve the information on MRS. IJEOMA GERTRUDE NWANEBU III.
| 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.