THECLA IHUAKU OBI NP NPI 1679801633

NPI Information

  • NPI: 1679801633
  • Provider Name: THECLA IHUAKU OBI, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1425 PORTLAND AVE
    ROCHESTER, NY
    ZIP 14621
  • Phone: (585) 922-4518

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NPI Details

Thecla Ihuaku Obi, NP is a family nurse practitioner in Rochester, NY with 13 years of experience. Thecla Ihuaku Obi, NP NPI is 1679801633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1425 PORTLAND AVE
ROCHESTER, NY
ZIP 14621-011
Phone: (585) 922-4518

The NPI 1679801633 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 12/2/2009 and was last updated on 2/20/2025.

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
1163W00000XRegistered Nurse576732NEW YORKNo
2363LF0000XNurse PractitionerFamily338190NEW YORKYes

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
103734892MEDICAIDNEW YORK
2J400240135OTHERNEW YORKMEDICARE PTAN

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: 11/21/2025

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