Umunna Agunanne

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

14903 Sandstone Dr
Fort Wayne, IN 46814-8888

Phone

(260) 249-0409

NPI assigned

Dec 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Progressive Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1366386799
  NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1497465108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 SANDSTONE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148888",
            "telephone_number": "260-249-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14903 SANDSTONE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148888",
            "telephone_number": "260-249-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUNANNE",
        "first_name": "UMUNNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinesh Agnihotri, MD
• Danielle Aguilar
• Mary Kathleen Aguilar, MSW, LCSW
• Gabriel Aguilera
• Christianah Agunanne, NP
• Doreen Y Agyeman, DMD
• Vinit Anil Aher, DDS
• Abid Ali Ahmad
• Hani Ahmad, MD
• Hasan Bilal Ahmad, DO, MBA

• All providers in Fort Wayne, IN
• Personal Care Attendant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.