Michelle Theresa Onwualu

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

239110 Issued in NY

Practice address

115112 220TH St
Cambria HTS, NY 11411-1161

Phone

(718) 276-4101

Fax

(718) 276-1331

NPI assigned

Feb 20, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265576367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115-112 220TH STREET",
            "city": "CAMBRIA HTS",
            "state": "NY",
            "postal_code": "11411",
            "telephone_number": "718-276-4101",
            "fax_number": "718-276-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115112 220TH ST",
            "city": "CAMBRIA HTS",
            "state": "NY",
            "postal_code": "114111161",
            "telephone_number": "718-276-4101",
            "fax_number": "718-276-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUALU",
        "first_name": "MICHELLE",
        "middle_name": "THERESA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "239110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01816531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chinyelu Lily Fafowora
• Gregg Gordon, MD
• Roy E Harnett-Robinson, MD
• Suzette Hyppolite
• Lilia Edith Njoku
• Roy Sturat Perles, DPM
• Horece Petit-Frere Pierre, SPED PROVIDER
• Richard Scott Seaman, DDS
• Ivel Adassa White, R.N.
• Keisha Yearwood

• Licensed Practical Nurse in Cambria HTS, NY
• Providers in Cambria HTS, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.