Individual provider Active NPI

Ruth Ola Osueke, FNP

  • Family Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1104358704
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN202526 Issued in GA
Practice address
2106 Lindley LN NW
Kennesaw, GA 30144-5232
Phone
(678) 232-5366
NPI assigned
Apr 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN202526 GA Primary

Addresses

Primary practice location

2106 Lindley LN NW
Kennesaw, GA 30144-5232

Mailing address

13220 Jenkins St NE
Blaine, MN 55449-4951
Phone (678) 232-5366

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7076MNMDSpeech-Language Pathologist
RN202526GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Hospice LLC PastSince Jul 17, 2018 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1104358704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 JENKINS ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494951",
            "telephone_number": "678-232-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LINDLEY LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445232",
            "telephone_number": "678-232-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUEKE",
        "first_name": "RUTH",
        "middle_name": "OLA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN202526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.