Individual provider Active NPI

Cherechi V Onyenso, FNP

  • Family Nurse Practitioner
  • Calumet City, IL
National Provider Identifier
1578855219
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.008342 Issued in IL
Practice address
1473 Ring Ring Road
Great Heights Family Medicine
Calumet City, IL 60409
Phone
(708) 743-3637
Fax
(779) 423-6041
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.008342 IL Primary

Addresses

Primary practice location

1473 Ring Ring Road
Great Heights Family Medicine
Calumet City, IL 60409

Mailing address

1473 Ring Ring Road
Great Heights Family Medicine
Calumet City, IL 60409
Phone (708) 743-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20121219000573 IL Practitioner - Nurse Practitioner 5193977114 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.008342ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M & F Medical Services, LTD PastSince Nov 3, 2012 Accepting new patients
Tyrafranklin Franklin Account PastSince Nov 20, 2016 Accepting new patients
Healing Hands Physicians, Inc. PastSince Jun 1, 2011 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1578855219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 RING RING ROAD",
            "address_2": "GREAT HEIGHTS FAMILY MEDICINE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-743-3637",
            "fax_number": "779-423-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 RING RING ROAD",
            "address_2": "GREAT HEIGHTS FAMILY MEDICINE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-743-3637",
            "fax_number": "779-423-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYENSO",
        "first_name": "CHERECHI",
        "middle_name": "V",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.008342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.