Individual provider Active NPI

Ijeoma Onwuogu, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Peabody, MA
National Provider Identifier
1356042204
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2297756 Issued in MA
Practice address
484 Lowell St Ste 2B-1
Peabody, MA 01960-7974
Phone
(781) 346-7248
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 2297756 MA Primary

Addresses

Primary practice location

484 Lowell St Ste 2B-1
Peabody, MA 01960-7974

Mailing address

6 Paul Ave
Peabody, MA 01960-2621
Phone (617) 538-8253

Other names 1

  • Ijeoma Victoria Onwuogu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2297756MAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1356042204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PAUL AVE",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602621",
            "telephone_number": "617-538-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 LOWELL ST STE 2B-1",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607974",
            "telephone_number": "781-346-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUOGU",
        "first_name": "IJEOMA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2297756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IJEOMA",
            "last_name": "ONWUOGU",
            "middle_name": "VICTORIA",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.