Philomena Onwuegbule, CRNP FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R129518 Issued in MD

Practice address

13992 Baltimore Ave Ste 200
Laurel, MD 20707-5010

Phone

(240) 264-6704

NPI assigned

Aug 10, 2018

Last updated

Aug 10, 2018By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serene Health Care LLC

  • Adult Mental Health Clinic/Center
  • Hanover, MD
  • NPI 1922874494
  NPD Authorized official
• Gennesaret Medical Center, LLC

  • Primary Care Clinic/Center
  • Laurel, MD
  • NPI 1588962245
  NPD (past)

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1245719202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7947 MONROVIA DR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761098",
            "telephone_number": "410-903-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13992 BALTIMORE AVE STE 200",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075010",
            "telephone_number": "240-264-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUEGBULE",
        "first_name": "PHILOMENA",
        "credential": "CRNP FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R129518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R129518",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Funmilayo Oni, CRNP
• Onic Medical Services, LLC
• Onic Medical Supply, LLC
• Sussan Ononaku, FNP
• Goldmay Ogbenyalu Onuma, PMHNP
• Chinyelu Onwumbiko, PHARMD
• Francisca Onyegbula
• Adanna Onyewu
• Chidinma Onyia, PHARMD
• Timothy O. Opeewe, OTR

• Family Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.