Individual provider Active NPI

Omozuwa Valentina Omigie, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1679289730
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-81132-021 Issued in KS
Practice address
7381 W 133Rd St Ste 401
Overland Park, KS 66213-4776
Phone
(913) 346-0000
Fax
(913) 361-0000
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 53-81132-021 KS Primary

Addresses

Primary practice location

7381 W 133Rd St Ste 401
Overland Park, KS 66213-4776

Mailing address

7381 W 133Rd St Ste 401
Overland Park, KS 66213-4776
Phone (913) 346-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230222001699 KS Practitioner - Nurse Practitioner 5890168827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas City Psychiatry Partners LLCGroup PAC ID 0244779882, 2 clinicians

Practice addresses (Care Compare)

7381 W 133Rd St
Suite 401
Overland Park, KS 66213-4776
Phone (913) 346-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interpersonal Psychiatry, LLC CurrentSince Jan 1, 2023 Accepting new patients
Kansas City Psychiatry Partners LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1045 E 23rd St
Lawrence, KS 66046
Phone (785) 727-0126

7381 W 133rd St
Ste 401
Overland Park, KS 66213
Phone (913) 346-0000

Interoperability endpoints

  • Direct secure messaging: omozuwa.omigie.p1@direct.kcpp.nextgenshare.com

Organizations & group practices 2

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1679289730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 W 133RD ST STE 401",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134776",
            "telephone_number": "913-346-0000",
            "fax_number": "916-361-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 W 133RD ST STE 401",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134776",
            "telephone_number": "913-346-0000",
            "fax_number": "913-361-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIGIE",
        "first_name": "OMOZUWA",
        "middle_name": "VALENTINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-81132-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.