Individual provider Active NPI

Eva Ugonna Okereke-Enechukwu, DNP,APRN,FNP/PMHNP-B

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1366117673
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11014683 Issued in FL
Practice address
2404 Lakeland Hills Blvd
Lakeland, FL 33805-2214
Phone
(863) 210-5320
Fax
(863) 210-5290
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 323717 AZ
Primary Care Nurse Practitioner 363LP2300X APRN11014683 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11014683 FL Primary

Addresses

Primary practice location

2404 Lakeland Hills Blvd
Lakeland, FL 33805-2214

Mailing address

2404 Lakeland Hills Blvd
Lakeland, FL 33805-2214
Phone (863) 210-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210920001094 FL Practitioner - Nurse Practitioner 4789081654 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323717AZMDPsychiatric/Mental Health Nurse Practitioner
APRN11014683FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Comprehensive Health Services, LLC Psychiatric/Mental Health CurrentSince Jul 23, 2025 Accepting new patients
Hmfmd PLLC Doctor Doctor Primary Care Services CurrentSince Dec 17, 2023 Accepting new patients
Evercare Inc Past Accepting new patients

Locations

2404 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (443) 980-2011

800 W Dr Martin Luther King Jr Blvd
Ste 4
Tampa, FL 33603
Phone (813) 743-4383

Organizations & group practices 4

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1366117673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052214",
            "telephone_number": "863-210-5320",
            "fax_number": "863-210-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052214",
            "telephone_number": "863-210-5320",
            "fax_number": "863-210-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEREKE-ENECHUKWU",
        "first_name": "EVA",
        "middle_name": "UGONNA",
        "name_prefix": "Dr.",
        "credential": "DNP,APRN,FNP/PMHNP-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "323717",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11014683",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11014683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.