Individual provider Active NPI

Kingsley U Onwuchurubau

  • Home Health Registered Nurse
  • Baltimore, MD
National Provider Identifier
1851788673
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
HHA11137 Issued in DC
Practice address
6654 Snbbery Court 12124
Baltimore, MD 12124
Phone
(144) 355-0392
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X HHA11137 DC Primary

Addresses

Primary practice location

6654 Snbbery Court 12124
Baltimore, MD 12124

Mailing address

6654 Snbbery Court 12124
Baltimore, MD 12124
Phone (144) 355-0392

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
HHA11137DCMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1851788673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 SNBBERY COURT 12124",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "12124",
            "telephone_number": "144-355-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 SNBBERY COURT 12124",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "12124",
            "telephone_number": "144-355-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUCHURUBAU",
        "first_name": "KINGSLEY",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "HHA11137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.