Julia Kerubo Ouko

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-79048-011 Issued in KS

Practice address

200 N Broadway Ave Ste 110
Wichita, KS 67202-2324

Phone

(316) 518-9577

Fax

(316) 746-2276

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Simply Better Behavioral Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1639881071

  DC

  Medicare reassignment Authorized official
• Quinnessential Healthcare

  • Psychiatry Physician
  • Wichita, KS
  • NPI 1083212302
  NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1356983282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BROADWAY AVE STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022324",
            "telephone_number": "316-518-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BROADWAY AVE STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022324",
            "telephone_number": "316-518-9577",
            "fax_number": "316-746-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 S Clifton Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672182900",
            "country_code": "US",
            "telephone_number": "316-858-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUKO",
        "first_name": "JULIA",
        "middle_name": "KERUBO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-79048-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Otte
• Miranda Skye Otte, OT, LAT, ATC
• Ebube Otuonye, PHARMACIST
• Logan Ouderkirk
• Elizabeth Ouellette
• Emmanuel Oundo
• Ourkansas Guardian Hospice LLC
• Ourkansas Guardian LLC
• Outbloom Therapy Services LLC
• Outbloom Therapy Services LLC

• Psychiatric/Mental Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.