Active NPI
Augustine Onyekachi Ani, NA
- Registered Nurse
- Brooklyn Park, MN
National Provider Identifier
1336913680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2513633
- Practice address
- 8861 Kilbirnie Ter
Brooklyn Park, MN 55443-1930 - Phone
- (185) 723-3101
- NPI assigned
- Nov 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2513633 | MN | Primary |
Addresses
Primary practice location
8861 Kilbirnie Ter
Brooklyn Park, MN 55443-1930
Mailing address
8861 Kilbirnie Ter
Brooklyn Park, MN 55443-1930
Phone (185) 723-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2513633 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1336913680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8861 KILBIRNIE TER",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431930",
"telephone_number": "185-723-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8861 KILBIRNIE TER",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431930",
"telephone_number": "185-723-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANI",
"first_name": "AUGUSTINE",
"middle_name": "ONYEKACHI",
"name_prefix": "Mr.",
"credential": "NA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2513633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.