Izoduwa Lucinda Ekunwe, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10240227 Issued in MS

Practice address

131 Dunleith Way
Clinton, MS 39056-5456

Phone

(601) 718-7008

NPI assigned

Dec 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Izoduwa Lucinda Ekunwe Professional name

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735084800000",
    "number": "1215745005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DUNLEITH WAY",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565456",
            "telephone_number": "601-718-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DUNLEITH WAY",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565456",
            "telephone_number": "601-718-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKUNWE",
        "first_name": "IZODUWA",
        "middle_name": "LUCINDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-25",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MS",
            "license": "915702",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F10240227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IZODUWA",
            "last_name": "EKUNWE",
            "middle_name": "LUCINDA",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dr Gary a Nelson PA
• Brenda Drake, LPC-S
• Brittany Deanna Ducksworth, CMHT
• Shinita Reed Dudley, MD
• Stephanie Phillips Dungey, DMD
• Elevate Telehealth and Wellness LLC
• Emeritrace LLC
• Emeritus Corporation
• Kimberly Ennis
• Rhea McCann Estes, OTR

• Family Nurse Practitioner in Clinton, MS
• Providers in Clinton, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.