CHRISTOLOGUS O. OBI APRN-CNP PMHNP NPI 1548970437

NPI Information

NPI: 1548970437
Provider Name: CHRISTOLOGUS O. OBI, APRN-CNP, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1104 WALNUT DR
ARDMORE, OK
ZIP 73401
Phone: (580) 226-0543
Get Directions

Christologus O. Obi, APRN-CNP, PMHNP is a psychiatric/mental health nurse practitioner in Ardmore, OK. Christologus O. Obi, APRN-CNP, PMHNP NPI is 1548970437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1104 WALNUT DR
ARDMORE, OK
ZIP 73401-353
Phone: (580) 226-0543
Fax: (580) 226-2284

The NPI 1548970437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2022 and was last updated on 2/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1098897	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	213780	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201217830A	MEDICAID	OKLAHOMA
2	213780	OTHER	OKLAHOMA	OKLAHOMA STATE BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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