Individual provider Active NPI

Andrew Onyemaechi Onyeanula

  • Licensed Practical Nurse
  • Westland, MI
National Provider Identifier
1821697095
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703120577 Issued in MI
Practice address
8281 Woodcrest Dr Apt 2
Westland, MI 48185-1238
Phone
(734) 620-4959
NPI assigned
Oct 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703120577 MI Primary

Addresses

Primary practice location

8281 Woodcrest Dr Apt 2
Westland, MI 48185-1238

Mailing address

8281 Woodcrest Dr Apt 2
Westland, MI 48185-1238
Phone (734) 620-4959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4703120577MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1821697095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8281 WOODCREST DR APT 2",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851238",
            "telephone_number": "734-620-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8281 WOODCREST DR APT 2",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851238",
            "telephone_number": "734-620-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEANULA",
        "first_name": "ANDREW",
        "middle_name": "ONYEMAECHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703120577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.