Juliet Uloma Osunka

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022025650 Issued in MO

Practice address

1945 S Swope Dr Apt D
Independence, MO 64057-1078

Phone

(816) 726-0443

NPI assigned

Nov 11, 2022

Last updated

Nov 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS, MO

  Medicare reassignment Care Compare group NPD
• Core Medical Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Blue Springs, MO
  • NPI 1558733766

  Family Medicine

  Medicare reassignment NPD
• Complexcare Medical Group Kansas H LLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1073407227

  KS

  Medicare reassignment NPD
• Complexcare Medical Group Midwest H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1457144933

  MO

  Medicare reassignment NPD
• Overland Park Medical Center LLC

  • Pain Clinic/Center
  • Overland Park, KS
  • NPI 1457183469
  Medicare reassignment NPD
• Overland Park Physical and Occupational Therapy LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1952131914
  NPD (past)
• Theoria Medical

  dba Theoria Primary Care

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1164130779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 S SWOPE DR",
            "address_2": "APT D",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-726-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 S SWOPE DR APT D",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571078",
            "telephone_number": "816-726-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNKA",
        "first_name": "JULIET",
        "middle_name": "ULOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022025650",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2022025650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylore Ortiz-Kidd
• Andria Elizabeth Ortiz, AGACNP
• Dawn Lousie Osborne, PT, DPT
• Lori Knabe Oster, LCSW, LSCSW
• Ezenwa Kevin Osuala, ARNP
• P & C Consultant Services
• P&C Healthcare LLC
• Sarat Chandra Pachalla, M.D.
• Michael D Page, D.C., D.A.C.R.B.
• Keatyn Davae Paige

• Family Nurse Practitioner in Independence, MO
• Providers in Independence, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.