Individual provider Active NPI

Nnenna Onwunmelu, RN

  • Registered Nurse
  • Dumfries, VA
National Provider Identifier
1144908245
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001264875 Issued in VA
Practice address
3596 Briarwood Dr
Dumfries, VA 22026-6202
Phone
(703) 997-0967
Fax
(703) 997-0073
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 041389695 IL
Registered Nurse 163W00000X 0001264875 VA Primary

Addresses

Primary practice location

3596 Briarwood Dr
Dumfries, VA 22026-6202

Mailing address

15000 Potomac Town PL Ste 100-150
Woodbridge, VA 22191-6586
Phone (727) 266-3662

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041389695ILMDRegistered Nurse
0001264875VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Professional Services, LLC Registered Nurse CurrentSince Dec 24, 2023 Accepting new patients
Stat Professional Services, LLC CurrentSince Jul 23, 2023 Accepting new patients

Locations

15000 Potomac Town Pl
Ste 100150
Woodbridge, VA 22191

Organizations & group practices 2

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1144908245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 POTOMAC TOWN PL STE 100-150",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916586",
            "telephone_number": "727-266-3662",
            "fax_number": "703-997-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3596 BRIARWOOD DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220266202",
            "telephone_number": "703-997-0967",
            "fax_number": "703-997-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUNMELU",
        "first_name": "NNENNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041389695",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001264875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.