Tobechukwu Anthonia Unaegbu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704248230 Issued in MI

Practice address

2852 Ivy Hill Dr
Commerce TWP, MI 48382-5129

Phone

(248) 574-1878

NPI assigned

Sep 14, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1467067520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 IVY HILL DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483825129",
            "telephone_number": "248-574-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 IVY HILL DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483825129",
            "telephone_number": "248-574-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNAEGBU",
        "first_name": "TOBECHUKWU",
        "middle_name": "ANTHONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704248230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tunaegbu@dmc.org",
            "affiliation": "N",
            "address_1": "2852 Ivy Hill Dr",
            "city": "Commerce Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483825129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Jo Thornton
• Nancy Ann Torgerson, CCC/SLP
• Shiloh Nevaeh Torres, TLLP
• Tove Ultimate Care Solution LLC
• Mandy Lynn Trevino, MD
• Union Lake Physical Rehabilitation, LLC
• V Cortney Jones MD PLLC
• Mary Vaske, CRNA
• Viewpoint Psychology and Wellness, L.L.C.
• Maureen Audrey Walczyk

• Family Nurse Practitioner in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.