Individual provider Active NPI

Eberechi Osuagwu, APRN, NP-C

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1457741175
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76697-072 Issued in KS
Practice address
2205 W 36TH Ave
Kansas City, KS 66103-2107
Phone
(913) 956-5620
Fax
(913) 362-0431
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76697-072 KS Primary

Addresses

Primary practice location

2205 W 36TH Ave
Kansas City, KS 66103-2107

Mailing address

2205 W 36TH Ave
Kansas City, KS 66103-2107
Phone (913) 956-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76697-072KSMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1457741175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W 36TH AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032107",
            "telephone_number": "913-956-5620",
            "fax_number": "913-362-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W 36TH AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032107",
            "telephone_number": "913-956-5620",
            "fax_number": "913-362-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUAGWU",
        "first_name": "EBERECHI",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76697-072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.