Emeka Anueyiagu, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Oxford, CT
NPI 1508563602 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1508563602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11357 (CT)
- Practice address
- 4 Echo Valley Rd
Oxford, CT 06478-1942 - Phone
- (516) 513-9362
- NPI assigned
- Feb 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230524002867 | CT | Practitioner - Nurse Practitioner | 5890151484 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11357 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Griffin Hospital | Current |
Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11357 | CT | Yes |
Addresses
Primary practice location
4 Echo Valley Rd
Oxford, CT 06478-1942
Mailing address
4 Echo Valley Rd
Oxford, CT 06478-1942
Other providers in Oxford, CT
- Warren Adams
- Haley Addis
- Mateen Alizadeh
- Mayra Rocio Alvarez
- Colleen Armitage
- Christine Anne Babbitt
- Komal Bansal
- Amanda Bard
- Morgan Emery Bartholomew
All providers in Oxford, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.