Individual provider Active NPI

Agatha Nnennaya Lekweuwa

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1174836167
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
452009 Issued in NY
Practice address
651 Britton St
Bronx Ny 10467
Bronx, NY 10467-7330
Phone
(718) 515-3707
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 452009 NY Primary

Addresses

Primary practice location

651 Britton St
Bronx Ny 10467
Bronx, NY 10467-7330

Mailing address

651 Britton St
Bronx Ny 10467
Bronx, NY 10467-7330
Phone (718) 515-3707

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

LicenseStateTypeSpecialty
452009NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1174836167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 BRITTON ST",
            "address_2": "BRONX NY 10467",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677330",
            "telephone_number": "718-515-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 BRITTON ST",
            "address_2": "BRONX NY 10467",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677330",
            "telephone_number": "718-515-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKWEUWA",
        "first_name": "AGATHA",
        "middle_name": "NNENNAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "452009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.