Active NPI
Joy Nneka Eke, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Gladstone, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2021029690
- Practice address
- 5604 NE Antioch Rd
Gladstone, MO 64119-2327 - Phone
- (660) 372-1313
- Fax
- (660) 372-1339
- NPI assigned
- Mar 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-45794-092 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021029690 | MO | Primary |
Addresses
Primary practice location
5604 NE Antioch Rd
Gladstone, MO 64119-2327
Mailing address
1513 Union Ave Ste 2500
Moberly, MO 65270-9412
Phone (660) 372-1313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1513 Union Ave
Suite 2500
Moberly, MO 65270-9412
Phone (660) 372-1313
5604 NE Antioch Rd
Gladstone, MO 64119-2327
Phone (660) 372-1313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-45794-092 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2021029690 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel O Fadare, MD, PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Oak Hills Behavioral Health Solutions | Current | Accepting new patients |
Locations
5604 N Antioch Rd
Gladstone, MO 64119
Phone (816) 533-5057
1513 Union Ave
Moberly, MO 65270
Phone (660) 263-6611
1513 Union Ave
Ste 2500
Moberly, MO 65270
Phone (660) 372-1313
Organizations & group practices 2
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.
-
- Counselor
- Moberly, MO
- NPI 1710544416
-
dba Samuel O Fadare, MD, PC
- Adult Mental Health Clinic/Center
- Gladstone, MO
- NPI 1639287824
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1285752865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 UNION AVE STE 2500",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652709412",
"telephone_number": "660-372-1313",
"fax_number": "660-372-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 NE ANTIOCH RD",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641192327",
"telephone_number": "660-372-1313",
"fax_number": "660-372-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKE",
"first_name": "JOY",
"middle_name": "NNEKA",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-45794-092",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2021029690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladstone, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.