Active NPIIndividual providerSole proprietor

Lynda Ikeogu, RN

Nurse Practitioner, Psych/Mental Health in Randolph, Massachusetts

NPI Number1043073539
Practice location
16 Lancaster RD, Randolph, MA 02368-4942
Fax
781-767-5939
Last updated
April 8, 2025

Lynda Ikeogu is a Nurse Practitioner, Psych/Mental Health based in Randolph, MA. Lynda Ikeogu practices in Randolph, MA and has the professional credentials of RN. The NPI Number for Lynda Ikeogu is 1043073539 and holds a License No. 271418 (MA). The current practice location address for Lynda Ikeogu is 16 Lancaster RD, Randolph, MA 02368-4942 and can be reached out via phone at 781-300-1495 and via fax at 781-767-5939.

Provider Profile Details

NPI Number
1043073539
Provider Name
Lynda Ikeogu
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
16 Lancaster RD, Randolph, MA 02368-4942
Phone Number
781-300-1495
Fax Number
781-767-5939
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
February 6, 2024
Last Update Date
April 8, 2025
Certification Date
April 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Lancaster RD
Randolph, MA 02368-4942
Zip
02368-4942
Phone Number
781-300-1495
Fax Number
781-767-5939
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
16 Lancaster RD
Randolph, MA 02368-4942
City
Randolph
State
MA
Zip
02368-4942
Phone Number
781-300-1495

License Information

License Number (1)
271418
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN271418
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lynda Ikeogu, RN?

The NPI number of Lynda Ikeogu, RN is 1043073539. It was assigned on February 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Lynda Ikeogu, RN?

Lynda Ikeogu, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 271418.

Where does Lynda Ikeogu, RN practice?

The practice location is 16 Lancaster RD, Randolph, MA 02368-4942. The office can be reached at 781-300-1495 (phone) or 781-767-5939 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043073539 directly on the NPPES registry website.

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