Individual provider Active NPI

Anthonia Nkiruka Okoyeuzu, RN

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1467287664
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95031878 Issued in CA
Practice address
3008 Sillect Ave
Bakersfield, CA 93308-6340
Phone
(562) 215-1137
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 NP95031878 CA Primary

Addresses

Primary practice location

3008 Sillect Ave
Bakersfield, CA 93308-6340

Mailing address

12315 Ruby River Dr
Bakersfield, CA 93312-6852
Phone (562) 215-1137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250312001687 CA Order and Referring Only - Nurse Practitioner 6305367806

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95031878CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Family Medical Center, Inc Past Accepting new patients

Organizations & group practices 1

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1467287664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 RUBY RIVER DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126852",
            "telephone_number": "562-215-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 SILLECT AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086340",
            "telephone_number": "562-215-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYEUZU",
        "first_name": "ANTHONIA",
        "middle_name": "NKIRUKA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95031878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.