Individual provider Active NPI

Obianuju Nwanneka Onyekwere

  • Acute Care Nurse Practitioner
  • La Vergne, TN
National Provider Identifier
1457529992
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0000013008 Issued in TN
Practice address
1303 Nicole LN
La Vergne, TN 37086-5242
Phone
(615) 287-9780
Fax
(615) 287-9780
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0000013008 TN Primary

Addresses

Primary practice location

1303 Nicole LN
La Vergne, TN 37086-5242

Mailing address

1303 Nicole LN
La Vergne, TN 37086-5242
Phone (615) 418-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080407000317 TN Practitioner - Nurse Practitioner 0547347114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Care Services LLCGroup PAC ID 5799175741, 36 clinicians
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

200 Mayfield Dr
Smyrna, TN 37167-3019
Phone (859) 255-0075

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000013008TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Medical Group LLC CurrentSince Nov 26, 2024 Accepting new patients
Coffee Medical Group LLC CurrentSince Nov 26, 2024 Accepting new patients
Healing Care Past Accepting new patients
NP Care of Tennessee, LLC Past Accepting new patients
Coffee Medical Group LLC Past Accepting new patients

Locations

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

482 Interstate Dr
Manchester, TN 37355
Phone (931) 728-4718

Organizations & group practices 6

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1457529992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NICOLE LN",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370865242",
            "telephone_number": "615-418-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 NICOLE LN",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370865242",
            "telephone_number": "615-287-9780",
            "fax_number": "615-287-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEKWERE",
        "first_name": "OBIANUJU",
        "middle_name": "NWANNEKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "0000013008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vergne, TN

Sources for this page

Verify at the official NPI Registry.