{"npi":"1184824633","type":"NPI-1","status":"active","name":{"display":"Ijeoma Innocent-Ituah MD","other":[],"first":"IJEOMA","last":"INNOCENT-ITUAH","middle":"NNEKA","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"MS","license":"674-L"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"LA","license":"MD.203042"}]},"addresses":[{"purpose":"LOCATION","street_1":"180 W ESPLANADE AVE","city":"KENNER","state":"LA","postal_code":"700652467","country_code":"US","phone":"5044688600"},{"purpose":"MAILING","street_1":"1514 JEFFERSON HIGHWAY","city":"NEW ORLEANS","state":"LA","postal_code":"70121","country_code":"US","phone":"5048424000"}],"license":{"state":"LA","number":"MD.203042"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03104797","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"1884472","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090815000013","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"LA","pac_id":"4981758638"},{"enrlmt_id":"I20250916001943","type_code":"14-C6","type_desc":"PRACTITIONER - HOSPITALIST","state":"MS","pac_id":"4981758638"}]},"enumeration_date":"2007-07-23","last_updated":"2017-05-05","_meta":{"source":"NPPES","snapshot_date":"2017-05-05","doc_url":"https://findmynpi.com/api"}}