Eze A Nwaubani

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60852261 Issued in WA

Practice address

811 W Yakima Ave Ste 104
Yakima, WA 98902-3088

Phone

(509) 367-6066

Fax

(509) 367-6190

NPI assigned

Mar 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20619/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1619418365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W YAKIMA AVE STE 104",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023088",
            "telephone_number": "509-367-6066",
            "fax_number": "509-367-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W YAKIMA AVE STE 104",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023088",
            "telephone_number": "509-367-6066",
            "fax_number": "509-367-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAUBANI",
        "first_name": "EZE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133564",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60852261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Vasquez Nunez, R.D
• Ofelia Nuno, M.S.W.
• Sharon Guiao Nuqui, PT
• Kelly Nutting, LMFT
• Thomas William Nuzzi Jr., LAC
• Barbara Nygren, SUDPT
• Patti R. Nystedt, R.D, C.D
• Benedicte N Nzombi
• Mary Esther O'Brien, LMHC
• Patrick O'Brien, MD

• Family Nurse Practitioner in Yakima, WA
• Providers in Yakima, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.