Akossiwa Amenyo, HAIR LOSS SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

625 S Lincoln Ave
O Fallon, IL 62269-2663

Phone

(618) 401-6359

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Venus Hair Loss Replacement Center LLC

  • Interpreter
  • O'Fallon, IL
  • NPI 1942859558
  Authorized official Same address or phone
• Venus Language Services LLC

  • Interpreter
  • O'Fallon, IL
  • NPI 1154963122
  Authorized official Same address or phone
• Venus Hair Restoration and Hair Spa Clinic LLC

  • Health & Wellness Coach
  • O'Fallon, IL
  • NPI 1770355794
  NPD

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1669029096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S LINCOLN AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692663",
            "telephone_number": "618-401-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S LINCOLN AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692663",
            "telephone_number": "618-401-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENYO",
        "first_name": "AKOSSIWA",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Althoff
• Alyve Medical PLLC Family Medical Clinic
• Amanda's SLP Care LLC
• Ashley Dawn Amburn, LCPC
• Amedisys Illinois LLC (Amedisys Home Health)
• Ronald P Ames, DMD
• Candace Mary Amesquita
• Nicole A Amos, PT
• Amy C Champion, LLC (Champion Consulting)
• Christopher James Anderson, DPM

• Prosthetics Case Management in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Prosthetics Case Management in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.