Nneka Agbaeze

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP053608 Issued in AZ

Practice address

3535 W Hopi TRL
Laveen, AZ 85339-1408

Phone

(602) 741-7651

NPI assigned

Oct 5, 2022

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• EMS Staffing Solutions

  dba EMS Workforce Center

  • Mental Health Counselor
  • Laveen, AZ
  • NPI 1760136329

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1700501426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W HOPI TRL",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391408",
            "telephone_number": "602-741-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W HOPI TRL",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391408",
            "telephone_number": "602-741-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBAEZE",
        "first_name": "NNEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP053608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adhearence, LLC (Central Auditory Specialists)
• Racquelle Adkisson
• Agape Home Assisted Living
• Agave Residential Care Home, LLC
• Ezekiel Agbaeze
• Agh Laveen LLC (Dignity Health Arizona General Hospital)
• Irla Jasmine Aguilar
• Ali Abdulkadir Ahmed
• Akos Live (Akos MD)
• Elmi Alasow

• Licensed Practical Nurse in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.