Individual provider Active NPI

Michael C Unekwe, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ridgefield, WA
National Provider Identifier
1871283226
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61421302 Issued in WA
Practice address
888 S Hillhurst Rd
Ridgefield, WA 98642-9063
Phone
(360) 857-0007
NPI assigned
May 9, 2023
Last updated
May 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1114726 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61421302 WA Primary

Addresses

Primary practice location

888 S Hillhurst Rd
Ridgefield, WA 98642-9063

Mailing address

2249 Red Oak Dr
Little Elm, TX 75068-5665
Phone (940) 208-8416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20231220002060 WA Practitioner - Nurse Practitioner 7911357769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1114726TXMDPsychiatric/Mental Health Nurse Practitioner
AP61421302WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients
Alliance for South Sound Health CurrentSince Nov 6, 2023 Accepting new patients

Locations

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1871283226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 RED OAK DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685665",
            "telephone_number": "940-208-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S HILLHURST RD",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429063",
            "telephone_number": "360-857-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNEKWE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1114726",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61421302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

Verify at the official NPI Registry.