Stella Nyaboke Nyakundi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9217 Issued in MN

Practice address

1801 Nicollet Ave
Minneapolis, MN 55403-3791

Phone

(763) 213-9359

NPI assigned

Jul 13, 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

Other names 1

• Stella Nyaboke Ogega Professional name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Holistic Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Paul, MN
  • NPI 1770308652
  NPD Authorized official
• Holistic Nursing Corp

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1942970595
  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1871227009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033791",
            "telephone_number": "763-213-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033791",
            "telephone_number": "763-213-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAKUNDI",
        "first_name": "STELLA",
        "middle_name": "NYABOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELLA",
            "last_name": "OGEGA",
            "middle_name": "NYABOKE",
            "credential": "APRN, FNP-BC, PHN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chiamaka Perditta Nwankiti, M.B.B.S, M.P.H
• Merja Nwanokwale
• Shuri Loveline Nwunasi, PMHNP
• Fred Nyabicha, CRNA
• John Otwori Nyaenya, DNP
• Caroline Bwari Nyamweya Tekeste, DO
• Justin Aminga Nyandika, DNP- APRN
• Timothy Nyangacha
• Edith Nyakaana Nyangoma, MD
• Michael Albert Maranga Nyantaroka

• Family Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.