Individual provider Active NPI

Lillian Bose Onyegbunwa, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1801248745
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130847 Issued in TX
Practice address
18110 Midway Rd Ste 136
Dallas, TX 75287-6632
Phone
(214) 613-6009
Fax
(214) 613-6002
NPI assigned
Jul 4, 2016
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130847 TX Primary

Addresses

Primary practice location

18110 Midway Rd Ste 136
Dallas, TX 75287-6632

Mailing address

321 Palo Duro Dr
Fairview, TX 75069-1286
Phone (214) 434-3528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170530002218 TX Practitioner - Nurse Practitioner 4981775871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellcare Family Clinic IncGroup PAC ID 8123425188, 2 clinicians

Practice addresses (Care Compare)

18110 Midway Rd
Suite 136
Dallas, TX 75287-6632
Phone (214) 350-0075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcare Family Clinic, Inc. Family CurrentSince Jun 1, 2022 Accepting new patients
Bonyl Healthcare Services Inc CurrentSince Mar 31, 2024 Accepting new patients
Margaret a Lorimor Aprn-FNP-C PLLC PastSince Jun 1, 2022 Accepting new patients

Locations

18110 Midway Rd
Ste 136
Dallas, TX 75287
Phone (214) 350-0075

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16981/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/24141/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1801248745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 PALO DURO DR",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750691286",
            "telephone_number": "214-434-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18110 MIDWAY RD STE 136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876632",
            "telephone_number": "214-613-6009",
            "fax_number": "214-613-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEGBUNWA",
        "first_name": "LILLIAN",
        "middle_name": "BOSE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.