Active NPI
Cherechi V Onyenso, FNP
- Family Nurse Practitioner
- Calumet City, IL
National Provider Identifier
1578855219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.008342
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008342 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & F Medical Services, LTD | Past | Accepting new patients | |
| Tyrafranklin Franklin Account | Past | Accepting new patients | |
| Healing Hands Physicians, Inc. | Past | 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.
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-
- Adult Medicine Physician
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-
- Home Health Agency
- Chicago, IL
- NPI 1497124911
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.