Ebere I Osuorji, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AG06200182 Issued in NC

Practice address

4901 Paces Ferry Dr
Durham, NC 27712-4103

Phone

(919) 810-4479

NPI assigned

Dec 9, 2020

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

Medicare fee-for-service enrollment

Enrolled in NC

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

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1255937629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 PACES FERRY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277124103",
            "telephone_number": "919-810-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 PACES FERRY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277124103",
            "telephone_number": "919-810-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUORJI",
        "first_name": "EBERE",
        "middle_name": "I",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "AG06200182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Francisco Osorio
• Ilana Devorah Osten, DPT
• Barbara Ostiguy, NP
• Daniel Ostrovsky, M.D.
• Cathleen Ostrowski, MS, RD, LDN, FAND
• Ike Osuorji
• Cameron James Oswalt, MD
• Grace Anyango Otieno
• Thomas John Otley, PT, DPT
• Andreina Ottman, PHARMD

• Adult Health Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.