Active NPI
Eucharia Nwogu
- Family Nurse Practitioner
- Silver Spring, MD
National Provider Identifier
1063920098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R144091
- Practice address
- 3104 Beethoven Way
Silver Spring, MD 20904-6860 - Phone
- (301) 847-0779
- Fax
- (301) 847-0779
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R144091 | MD | Primary |
Addresses
Primary practice location
3104 Beethoven Way
Silver Spring, MD 20904-6860
Mailing address
3104 Beethoven Way
Silver Spring, MD 20904-6860
Phone (301) 847-0779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R144091 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1063920098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 BEETHOVEN WAY",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209046860",
"telephone_number": "301-847-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 BEETHOVEN WAY",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209046860",
"telephone_number": "301-847-0779",
"fax_number": "301-847-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWOGU",
"first_name": "EUCHARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R144091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.