Active NPI
Equillibrium Health Care Services LLC
- Family Nurse Practitioner
- Laurel, MD
National Provider Identifier
1003450206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EQUILLIBRIUM HEALTH CARE SERVICES LLC
- Practice address
- 24 River Front PL Apt 206
Laurel, MD 20707-7135 - Phone
- (301) 793-0626
- NPI assigned
- Oct 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chidinma Jennifer Onyegwu, DNP, FNP-C,PMHNP-BC
- Title
- Nurse Practitioner
- Phone
- (301) 793-0626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
24 River Front PL Apt 206
Laurel, MD 20707-7135
Mailing address
5364 Tarkington PL
Columbia, MD 21044-5407
Phone (301) 793-0626
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fitchburg, MA
- NPI 1205271418
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1003450206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5364 TARKINGTON PL",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210445407",
"telephone_number": "301-793-0626",
"fax_number": "443-960-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 RIVER FRONT PL APT 206",
"city": "LAUREL",
"state": "MD",
"postal_code": "207077135",
"telephone_number": "301-793-0626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUILLIBRIUM HEALTH CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "ONYEGWU",
"authorized_official_first_name": "CHIDINMA",
"authorized_official_middle_name": "JENNIFER",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "301-793-0626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-C,PMHNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.