Individual provider Active NPI

Temitayo I Onamusi, CNP. AGPC

  • Adult Health Nurse Practitioner
  • Lima, OH
National Provider Identifier
1265971394
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN299000 Issued in OH
Practice address
904 N Cable Rd
Lima, OH 45805
Phone
(419) 222-9410
Fax
(419) 222-6175
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN299000 OH Primary

Addresses

Primary practice location

904 N Cable Rd
Lima, OH 45805

Mailing address

3001 Lakeshore Dr
Lima, OH 45806-1466
Phone (419) 222-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170420000889 OH Practitioner - Nurse Practitioner 5799705455 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN299000OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Behavioral Health Services, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Divine Home Care of Ohio LLC CurrentSince Apr 4, 2012 Accepting new patients
Grow Healthcare Group PA CurrentSince Feb 24, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4761 State Route 29
Celina, OH 45822
Phone (419) 584-1000

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

904 N Cable Rd
Lima, OH 45805
Phone (419) 222-9410

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Divine Home Care of Ohio LLCLima, OH, CCN 368156 Home health agency 5% Or Greater Direct Ownership Interest
Corporate Director
Aug 31, 2004
Feb 20, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1265971394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LAKESHORE DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061466",
            "telephone_number": "419-222-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45805",
            "telephone_number": "419-222-9410",
            "fax_number": "419-222-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONAMUSI",
        "first_name": "TEMITAYO",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "CNP. AGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN299000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.