Princess Wyche-Oguntade

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

755 27TH Ave SW Ste 9&10
Vero Beach, FL 32968-4200

Phone

(772) 257-5264

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1508333295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 27TH AVE STE 9&10",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329681315",
            "telephone_number": "772-257-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 27TH AVE SW STE 9&10",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684200",
            "telephone_number": "772-257-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCHE-OGUNTADE",
        "first_name": "PRINCESS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James H Wudel, MD
• Randy James Wunsche, OT
• Randy James Wunsche Jr.
• Kendall Wyckoff, APRN
• Richard J Wyderski, MD
• Katia Xeros, M.A. CCC-SLP
• Tina Yacona, LCSW
• Kruti Yagnik, DO

• Case Manager/Care Coordinator in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.