Individual provider Active NPI

Ginikachukwu Awoke Egbujie, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1033994256
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
811377 Issued in NV
Practice address
5785 Centennial Center Blvd Ste 230
Las Vegas, NV 89149-7109
Phone
(702) 383-2273
Fax
(702) 383-6266
NPI assigned
Aug 28, 2023
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 811377 NV Primary
Primary Care Nurse Practitioner 363LP2300X 811377 NV

Addresses

Primary practice location

5785 Centennial Center Blvd Ste 230
Las Vegas, NV 89149-7109

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Other names 1

  • Ginikachukwu Awoke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002008 NV Practitioner - Nurse Practitioner 6800245382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canon Clinic LLC Family Current Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 27, 2023 Accepting new patients
Canon Clinic LLC Family CurrentSince Oct 1, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 27, 2023 Accepting new patients

Locations

525 Marks St
Henderson, NV 89014
Phone (702) 383-6210

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

5785 Centennial Center Blvd
Ste 190
Las Vegas, NV 89149
Phone (702) 383-6270

5785 Centennial Center Blvd
Ste 230
Las Vegas, NV 89149

401 Ryland St
Ste 200A
Reno, NV 89502
Phone (619) 865-0445

401 Ryland St
Ste 200A
Reno, NV 89502
Phone (775) 571-1616

Interoperability endpoints

  • Direct secure messaging: gawoke113734@direct.umcsn.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1033994256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497109",
            "telephone_number": "702-383-2273",
            "fax_number": "702-383-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOKE EGBUJIE",
        "first_name": "GINIKACHUKWU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "811377",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "811377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINIKACHUKWU",
            "last_name": "AWOKE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.