Ifeoma Esther Agudosi, LPN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

0030491 Issued in OH

Practice address

1996 Primrose Ave
Lewis Center, OH 43035-8366

Phone

(614) 738-3644

NPI assigned

Dec 9, 2011

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

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.

Medicare enrollment (NPD)

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.

• Freedom Health Behavioral Services LLC

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Westerville, OH
  • NPI 1063332146
  NPD (past) Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1578831178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 PRIMROSE AVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358366",
            "telephone_number": "614-738-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 PRIMROSE AVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358366",
            "telephone_number": "614-738-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUDOSI",
        "first_name": "IFEOMA",
        "middle_name": "ESTHER",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0030491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ability Chiropractic Lewis Center LLC
• Access One Home Healthcare LLC
• Hagar Ackah-Andoh
• Beatrice Kakra Adjei, RN
• Selina Osei Afriyie
• Stephanie Rose Aguirre
• Akacu Cares LTD
• Imran Shaan Akbar, D.O.
• Safwan Al Yassary
• Michele Lynn Albert, RN

• Psychiatric/Mental Health Clinical Nurse Specialist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.