Individual provider Active NPI

Ruth O Ogunniyi, ANP

  • Adult Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1356771729
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2013006670 Issued in MO
Practice address
9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471
Phone
(816) 319-4785
Fax
(855) 299-2184
NPI assigned
Nov 20, 2013
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2013006670 MO Primary

Addresses

Primary practice location

9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471

Mailing address

PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 851-1000

Other names 1

  • Mrs. Ruth Awoniyi Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140626000119 MO Practitioner - Nurse Practitioner 8527283076 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013006670MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Home Health Services LLC Current Accepting new patients
Altea Medical Missouri LLC CurrentSince Nov 4, 2024 Accepting new patients
Signify Health, LLC CurrentSince Feb 1, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Feb 14, 2025 Accepting new patients
Landmark Medical of Missouri PC CurrentSince Apr 6, 2023 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

9229 Ward Pkwy
Ste 380
Kansas City, MO 64114
Phone (816) 319-4785

430 N West St
Perryville, MO 63775
Phone (273) 547-1011

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: ms_rogunniy@landmarkhealth-direct.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1356771729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-851-1000",
            "fax_number": "314-851-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY STE 380",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145471",
            "telephone_number": "816-319-4785",
            "fax_number": "855-299-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNIYI",
        "first_name": "RUTH",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2013006670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "AWONIYI",
            "prefix": "MRS.",
            "credential": "ANP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.