EGBE IYABO OMOREGIE (NPI# 1962015701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962015701 |
Entity Type | Individual |
Full Name | EGBE IYABO OMOREGIE |
Credential | NP |
Practice Address |
1411 E 31st St Oakland CA 94602-1018 |
Practice Telephone | 5105357382 |
Enumeration Date | 2020-08-30 |
Last Update Date | 2020-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NP95013296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1411 E 31ST ST |
City | OAKLAND |
State | CA |
Zip Code | 94602-1018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396733135 | Andrea Elizabeth Williams | Family Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-10-06 |
1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
1922606276 | Monica Mofidi | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-09 |
1639785223 | Mercedeh Nicole Vaez | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-09-18 |
1275146672 | Jessica Labioda Sohn | Social Worker | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-25 |
1760093462 | Himalina Rajanakhan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1092 | 2020-08-14 |
1316558018 | Lisa De La Cruz | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-14 |
1396356762 | Jermaine Robertson | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-11 |
1700496437 | Kathleen Puanani Hennessy | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-06 |
1013525484 | Kyle Rosales | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
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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 |
---|---|---|---|---|
1124402888 | Christine Wilson | Nurse Practitioner | 710 Regina Cir, Oakland, FL 34787-8961 | 2015-07-13 |
1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
1750523767 | Cara Susan Stone | Nurse Practitioner | 1682 7th St, Oakland, CA 94607-1351 | 2009-04-06 |
1275789935 | Tippini Lott | Nurse Practitioner | 14101 Hickory Street, Oakland, MS 38948-0000 | 2008-08-13 |
1861607764 | Lisa Marie Thompson | Nurse Practitioner | 3541 E. 12th Street, Oakland, CA 94601 | 2007-05-14 |
1700986056 | Katherine Anne Rhodes | Nurse Practitioner | 4351 Broadway, Oakland, CA 94611-4612 | 2006-09-25 |
1477667798 | Emerlinda Imperio | Nurse Practitioner | 19 Yawpo Ave, Oakland, NJ 07436-2739 | 2006-08-17 |
1629092945 | Kelly A. Maris-weissburg | Nurse Practitioner | 80 Grand Ave Ste 602, Oakland, CA 94612-3744 | 2006-07-27 |
1730108309 | Mitchell D'arata | Nurse Practitioner | 3100 Summit Street, Oakland, CA 94609-0000 | 2006-07-18 |
1548205115 | Rebecca N. Faith | Nurse Practitioner | 350 30th St Ste 320, Oakland, CA 94609-3425 | 2006-06-18 |
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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.