DR. ALPHONSA OKIBEDI-AHANOTU (NPI# 1649452673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649452673 |
| Entity Type | Individual |
| Full Name | DR. ALPHONSA OKIBEDI-AHANOTU |
| Credential | DNP, MN |
| Practice Address |
1701 Hardee Ave Sw Atlanta GA 30310-5110 |
| Mailing Address |
3710 Sw Us Veterans Hospital Rd Portland OR 97239-2964 |
| Practice Telephone | 4043216111 |
| Mailing Telephone | 5032208262 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
200542264RN | OR | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN234013 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
200750099NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1670 Clairmont Rd, Decatur, GA 300334004 | 4043216111 |
| Street Address |
1701 HARDEE AVE SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904379 | Varrenza Lashaun Baker | Recreation Therapist | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2020-08-25 |
| 1356977904 | Alexander Scott | Social Worker | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2020-03-16 |
| 1740820901 | Latonja Ann White | Social Worker | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2020-01-15 |
| 1033751136 | Carlis Hollings Hughes | Counselor | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2019-10-10 |
| 1730650078 | Leah Bougere | Psychologist | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2018-12-16 |
| 1669940979 | Jami Michelle Gauthier | Psychologist | 1701 Hardee Ave Sw, Office 2a 326, Atlanta, GA 30310-5110 | 2018-11-05 |
| 1568937530 | Henry Arness Wynne Jr. | Psychologist | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2018-10-05 |
| 1386139509 | Donlarae Curtis Richardson | Social Worker | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2018-06-29 |
| 1659739449 | Atlanta Vamc | Psychiatric Residential Treatment Facility | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2016-02-08 |
| 1225424195 | Otega Edukuye | Psychiatry & Neurology | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1780242420 | Fortunate Amarachukwu Ejimone | Student in an Organized Health Care Education/Training Program | 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-05-29 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| Find all providers in zip 30310 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989549 | Bosede Omolara Babalola-adejokun | Nurse Practitioner | 160 Magnolia Walk Ln, Atlanta, GA 30349-4067 | 2020-07-16 |
| 1891313276 | Health Medix Center Inc | Nurse Practitioner | 5401 Boreal Way Sw, Atlanta, GA 30331-9215 | 2020-07-11 |
| 1831736826 | Carol Lorraine Borchers | Nurse Practitioner | 3648 Peachtree Rd Ne Apt 1j, Atlanta, GA 30319-1271 | 2019-12-09 |
| 1033606165 | Jane Wanjiru Waweru | Nurse Practitioner | 635 Windy Ridge Ln Se, Atlanta, GA 30339-2438 | 2018-04-14 |
| 1780198820 | Joanne Patrice Parks | Nurse Practitioner | 3110 Henderson Walk, Atlanta, GA 30340-4329 | 2017-11-28 |
| 1013467570 | Jill Morich Webb | Nurse Practitioner | 2150 Peachford Rd Ste Q, Atlanta, GA 30338-6539 | 2016-10-09 |
| 1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
| 1407211964 | Donna D. Wilson | Nurse Practitioner | 35 Collier Rd Nw Ste 425, Atlanta, GA 30309-1613 | 2015-12-28 |
| 1265785596 | Shikira Mone' Woods | Nurse Practitioner | 101 Marietta St Nw Ste 350, Atlanta, GA 30303-2724 | 2012-10-24 |
| 1104846385 | Elizabeth L Robinson | Nurse Practitioner | 289 Little St Se, Atlanta, GA 30315-1364 | 2006-07-20 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on DR. ALPHONSA OKIBEDI-AHANOTU.
| 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.