Agnes Uchechi Enomanna

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R133743 Issued in MD

Practice address

10541 Jason LN
Columbia, MD 21044-2212

Phone

(443) 413-1837

NPI assigned

Feb 24, 2022

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

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1801542154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10541 JASON LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442212",
            "telephone_number": "443-413-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10541 JASON LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442212",
            "telephone_number": "443-413-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOMANNA",
        "first_name": "AGNES",
        "middle_name": "UCHECHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R133743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Englander, RN
• Trevor Engle
• Genevieve M. Engleman, MS, CFPS, CFWE,OTR/L
• Diana G. Engler, P.T.
• Robert A English, OTR LCHT
• Galen Enow
• Megan Enright, LMSW
• Teion Ensley-Ellerbe
• Envolve Diagnostics Inc
• Chiso Ori Enwezor, PA-C

• Family Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.