Kevin O Onuekwusi

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

KEVIN O ONUEKWUSI

Doing business as

Olive Clinic and Wellness Center

Practice address

3311 Toledo Ter Ste B204
Hyattsville, MD 20782-8149

Phone

(240) 416-3684

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Onuekwusi, DNP, CRNP, AGNPNPI 1982364857

Title

Owner of Entity

Phone

(240) 416-3684

Specialties & licenses 1

Addresses

Other names 1

• OLIVE CLINIC AND WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin O Onuekwusi Sr., DNP

  • Primary Care Nurse Practitioner
  • Bowie, MD
  • NPI 1982364857

  DC, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1710600358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B204",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828149",
            "telephone_number": "240-416-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B204",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828149",
            "telephone_number": "240-416-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN O ONUEKWUSI",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "ONUEKWUSI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "240-416-3684",
        "authorized_official_credential": "DNP, CRNP, AGNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLIVE CLINIC AND WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OLIVE CLINIC AND WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Kenthack
• Mehrdad Keramati, O.D.
• Elizabeth Kessi, HHA
• Afi N Keto
• Francine Keuke
• Editteflore Keyi Tabe
• Shahryar Nasir Khaliq, D.M.D.
• Ayesha Ali Khan
• Naureen Khan
• Sweta S Khatri, PHARMD

• Adult Health Nurse Practitioner in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.