Active NPI
Ogechi Nita Enyioko, FNP
- Family Nurse Practitioner
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704289385
- Practice address
- 30500 Van Dyke Ave
Warren, MI 48093-2195 - Phone
- (248) 325-7093
- NPI assigned
- Feb 26, 2019
- Last updated
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704289385 | MI | Primary |
Addresses
Primary practice location
30500 Van Dyke Ave
Warren, MI 48093-2195
Mailing address
29714 Somerset Dr
Southfield, MI 48076-1871
Phone (248) 325-7093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laz Medical Group PC | Current | Accepting new patients | |
| Mdslivenow PLLC | Current | Accepting new patients | |
| Michigan Family Medicine and Urgent Care | Current | Accepting new patients | |
| Guided Care Center | Current | Accepting new patients | |
| Senior Care Health Group PLLC | Current | Accepting new patients | |
| Henry Ford Health System | Past | Accepting new patients |
Locations
8542 N Canton Center Rd
Canton, MI 48187
Phone (313) 974-6533
4353 Maple St
Dearborn, MI 48126
Phone (313) 908-0004
16226 Grand River Ave
Detroit, MI 48227
Phone (313) 836-5490
20526 Plymouth Rd
Detroit, MI 48228
Phone (313) 273-3780
4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954
6531 W Michigan Ave
#C
Jackson, MI 49201
Phone (517) 750-3822
21701 W 11 Mile Rd
Ste 5
Southfield, MI 48076
Phone (248) 747-1690
Interoperability endpoints
- oenyioko389267@direct.hfhs.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1215688965
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Southfield, MI
- NPI 1053310128
-
- Family Medicine Physician
- Dewitt, MI
- NPI 1497225403
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1902794571
-
- Internal Medicine Physician
- Warren, MI
- NPI 1477059087
-
- Geriatric Medicine (Family Medicine) Physician
- Dearborn Heights, MI
- NPI 1154992196
-
- General Practice Physician
- Southfield, MI
- NPI 1619770807
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1285191254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29714 SOMERSET DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761871",
"telephone_number": "248-325-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30500 VAN DYKE AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480932195",
"telephone_number": "248-325-7093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENYIOKO",
"first_name": "OGECHI",
"middle_name": "NITA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704289385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.