Active NPI
Bibian Onyeacho
- Nurse's Aide
- Saint Louis, MO
National Provider Identifier
1104220045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 129858
- Practice address
- 10600 Lewis and Clark Blvd
Saint Louis, MO 63136-6005 - Phone
- (314) 340-6389
- NPI assigned
- Oct 21, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 129858 | MO | Primary |
Addresses
Primary practice location
10600 Lewis and Clark Blvd
Saint Louis, MO 63136-6005
Mailing address
2172 Keeven LN
Florissant, MO 63031-6502
Phone (314) 532-5505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12803654 | Other | MO | UMR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129858 | MO | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1104220045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 KEEVEN LN",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630316502",
"telephone_number": "314-532-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 LEWIS AND CLARK BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366005",
"telephone_number": "314-340-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYEACHO",
"first_name": "BIBIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MO",
"license": "129858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMR",
"identifier": "12803654",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Moyosore Kikelomo Onifade, M.D.
- Onpoint Care Solutions LLC
- Ellie Onstott, MD
- Odinakachukwu Onuigbo, MD
- Kalu Ireke Onuma, M.D.,
- Otuomasirichi Eudorah Onyema, DNP, MPH, FNP-BC
- Obinna Okechukwu-David Onyeukwu, MD
- Onyx Management Services Organization LLC
- Onyx Spine Institute, LLC
- Onyx Transitional Care Centers, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.