Individual provider Active NPI

Evelyn Chinonye Onyeji, DNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1124424460
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9290974 Issued in FL
Practice address
7406 Fullerton St
Jacksonville, FL 32256-3552
Phone
(904) 538-0440
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9290974 FL
Family Nurse Practitioner 363LF0000X ARNP9290974 FL Primary

Addresses

Primary practice location

7406 Fullerton St
Jacksonville, FL 32256-3552

Mailing address

14091 Jomatt Loop
Winter Garden, FL 34787-0115
Phone (407) 715-4998

Other practice location 1

831 Simpson Rd
Kissimmee, FL 34744-5328
Phone (407) 483-5757

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

State licenses

LicenseStateTypeSpecialty
RN9290974FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1124424460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14091 JOMATT LOOP",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347870115",
            "telephone_number": "407-715-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 FULLERTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563552",
            "telephone_number": "904-538-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Simpson Rd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445328",
            "country_code": "US",
            "telephone_number": "407-483-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYEJI",
        "first_name": "EVELYN",
        "middle_name": "CHINONYE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9290974",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9290974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.