Individual provider Active NPI

Uzoji Nwanaji-Enwerem, FNP

  • Family Nurse Practitioner
  • Stratford, CT
National Provider Identifier
1639769300
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8714 Issued in CT
Practice address
3300 Main St
Stratford, CT 06614-4819
Phone
(203) 378-4514
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 8714 CT Primary

Addresses

Primary practice location

3300 Main St
Stratford, CT 06614-4819

Mailing address

29 Pratt St FL 3
Meriden, CT 06450-4215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250820003191 CT Practitioner - Nurse Practitioner 0244730778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3300 Main St
Stratford, CT 06614-4819

PO Box
Suite 16
Mashpee, MA 02649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8714CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Living Spring LLC CurrentSince May 9, 2025 Accepting new patients

Locations

3300 Main St
Stratford, CT 06614
Phone (203) 378-4514

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1639769300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PRATT ST FL 3",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144819",
            "telephone_number": "203-378-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANAJI-ENWEREM",
        "first_name": "UZOJI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.