Individual provider Active NPI

Eunice C Iwunze, NURSE

  • Licensed Practical Nurse
  • Gilbert, AZ
National Provider Identifier
1821713074
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP032436 Issued in AZ
Practice address
633 E Ray Rd Ste 130
Gilbert, AZ 85296-4206
Phone
(480) 812-3680
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 LP032436 AZ Primary

Addresses

Primary practice location

633 E Ray Rd Ste 130
Gilbert, AZ 85296-4206

Mailing address

633 E Ray Rd Ste 130
Gilbert, AZ 85296-4206
Phone (480) 812-3680

Other identifiers 1

IdentifierTypeStateIssuer
LP032436MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL GILBERT Other

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
LP032436AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Home Health Care Agency LLC Current Accepting new patients

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1821713074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964206",
            "telephone_number": "480-812-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964206",
            "telephone_number": "480-812-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUNZE",
        "first_name": "EUNICE",
        "middle_name": "C",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP032436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LP032436",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "GILBERT",
            "affiliation": "N",
            "endpointDescription": "HOMEHEALTHAGENCY",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "GILBERT",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "633 E Ray Rd Ste 130",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852964206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.