Individual provider Active NPI

Uche Ezembaukwu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1639028749
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0041265 Issued in OH
Practice address
8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone
(513) 942-9500
Fax
(513) 942-9501
NPI assigned
Jan 23, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0041265 OH Primary

Addresses

Primary practice location

8614 Shepherd Farm Dr
West Chester, OH 45069-1128

Mailing address

8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone (513) 942-9500

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Cincinnati, OH 45263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0041265OHMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1639028749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 SHEPHERD FARM DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691128",
            "telephone_number": "513-942-9500",
            "fax_number": "513-942-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 SHEPHERD FARM DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691128",
            "telephone_number": "513-942-9500",
            "fax_number": "513-942-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEMBAUKWU",
        "first_name": "UCHE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0041265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.