Individual provider Active NPI

Grace Nebechi Nnamani, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1841609211
Registry record updated Aug 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
512906-1 Issued in NY
Practice address
3006 Grace Ave
Bronx, NY 10469-3229
Phone
(646) 643-6665
NPI assigned
Aug 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2014

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 512906-1 NY Primary

Addresses

Primary practice location

3006 Grace Ave
Bronx, NY 10469-3229

Mailing address

3006 Grace Ave
Bronx, NY 10469-3229
Phone (646) 643-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215002437 NY Practitioner - Nurse Practitioner 8820460041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
512906-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407628800000",
    "number": "1841609211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 GRACE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693229",
            "telephone_number": "646-643-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 GRACE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693229",
            "telephone_number": "646-643-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAMANI",
        "first_name": "GRACE",
        "middle_name": "NEBECHI",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "512906-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.