Individual provider Active NPI

Letisha M Onyeanusi

  • Family Nurse Practitioner
  • Bear, DE
National Provider Identifier
1720895584
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG0013018 Issued in DE
Practice address
121 Becks Woods Dr Ste 100
Bear, DE 19701-3853
Phone
(302) 261-5600
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0013018 DE
Family Nurse Practitioner 363LF0000X LG0013018 DE Primary

Addresses

Primary practice location

121 Becks Woods Dr Ste 100
Bear, DE 19701-3853

Mailing address

121 Becks Woods Dr Ste 100
Bear, DE 19701-3853
Phone (302) 261-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20250501001493 DE Practitioner - Nurse Practitioner 5496271561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG0013018DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Clinic, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

121 Becks Woods Dr
Ste 100
Bear, DE 19701
Phone (302) 836-8200

800 Delaware Ave
Fl 5
Wilmington, DE 19801
Phone 3022669166454

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1720895584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BECKS WOODS DR STE 100",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013853",
            "telephone_number": "302-261-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BECKS WOODS DR STE 100",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013853",
            "telephone_number": "302-261-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEANUSI",
        "first_name": "LETISHA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0013018",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0013018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.