Individual provider Active NPI

Njideka U Onu, NURSE PRACTITIONER

  • Nurse Practitioner
  • Potomac Falls, VA
National Provider Identifier
1497358642
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020092490 Issued in VA
Practice address
46090 Lake Center PLZ Ste 201
Potomac Falls, VA 20165-5878
Phone
(240) 486-6516
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2020092490 VA Primary

Addresses

Primary practice location

46090 Lake Center PLZ Ste 201
Potomac Falls, VA 20165-5878

Mailing address

PO Box 4212
Woodbridge, VA 22194-4212
Phone (571) 481-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20221020002841 DC Practitioner - Nurse Practitioner 7810363504 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020092490VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Healthcare, LLC CurrentSince Apr 29, 2023 Accepting new patients
Med-Ped Health Care LLC CurrentSince Apr 29, 2023 Accepting new patients
Express Healthcare, LLC Past Accepting new patients

Locations

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

6305 Castle Pl
Ste 2D
Falls Church, VA 22044
Phone (703) 344-8355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1497358642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4212",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221944212",
            "telephone_number": "571-481-2442",
            "fax_number": "703-619-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ STE 201",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655878",
            "telephone_number": "240-486-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONU",
        "first_name": "NJIDEKA",
        "middle_name": "U",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "2020092490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac Falls, VA

Sources for this page

Verify at the official NPI Registry.