Individual provider Active NPI

Lilian Onyinye Onwuka, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1346977642
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997768-NP Issued in CO
Practice address
803 W 4TH St Ste U
Pueblo, CO 81003-2392
Phone
(719) 423-0694
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0997768-NP CO Primary

Addresses

Primary practice location

803 W 4TH St Ste U
Pueblo, CO 81003-2392

Mailing address

PO Box 3834
Pueblo, CO 81005-0834
Phone (719) 423-0694

Other names 1

  • Lilian Onyinye Onwuka Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230821001394 CO Practitioner - Nurse Practitioner 9032571211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

803 W 4TH St
Suite U
Pueblo, CO 81003-2392
Phone (719) 423-0694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0997768-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Psychiatry LLC Psychiatric/Mental Health CurrentSince Jul 5, 2023 Accepting new patients
Milestone Psychiatry Inc. Psychiatric/Mental Health PastSince Dec 10, 2023 Accepting new patients
Milestone Psychiatry Inc Psychiatric/Mental Health PastSince Sep 20, 2022 Accepting new patients

Locations

3000 Wedgewood Dr
Unit 3834
Pueblo, CO 81005

803 W 4th St
Ste U
Pueblo, CO 81003
Phone (719) 423-0694

Organizations & group practices 3

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1346977642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3834",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810050834",
            "telephone_number": "719-423-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W 4TH ST STE U",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032392",
            "telephone_number": "719-423-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUKA",
        "first_name": "LILIAN",
        "middle_name": "ONYINYE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997768-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIAN",
            "last_name": "ONWUKA",
            "middle_name": "ONYINYE",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.