AMENAGHAWON OKWUEGBE
NPI 1063149441
Licensed Vocational Nurse in Oakland, CA

Active since August 04, 2022
280 17TH ST, OAKLAND, CA 94612(510) 295-9365 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amenaghawon Okwuegbe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMENAGHAWON OKWUEGBE (NPI 1063149441) is an individual licensed vocational nurse in Oakland, California, licensed in California (218504) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1063149441
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameAMENAGHAWON OKWUEGBE
Location Address280 17TH STOakland, CA 94612-4124
Mailing Address280 17th StOakland, CA 94612-4124 · (510) 295-9365
Sole ProprietorYes
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
NPI 1063149441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · 218504
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
280 17TH ST, Oakland, CA 94612

Other Identifiers 1

Medicaid1411033663CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
280 17TH ST
OAKLAND, CA 94612
Case Management
280 17TH ST
OAKLAND, CA 94612
Counselor (Mental Health)
280 17TH ST
OAKLAND, CA 94612
Counselor (Mental Health)
280 17TH ST
OAKLAND, CA 94612
Technician, Health Information
280 17TH ST
OAKLAND, CA 94612
Counselor (Professional)
280 17TH ST
OAKLAND, CA 94612
Rehabilitation Practitioner
280 17TH ST
OAKLAND, CA 94612
Registered Nurse (Psychiatric/Mental Health)
280 17TH ST
OAKLAND, CA 94612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amenaghawon Okwuegbe's NPI number?

The NPI number for Amenaghawon Okwuegbe is 1063149441. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Amenaghawon Okwuegbe located?

Amenaghawon Okwuegbe practices at 280 17th St, Oakland, CA 94612. The listed phone number is (510) 295-9365.

What is Amenaghawon Okwuegbe's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Amenaghawon Okwuegbe was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.