Individual provider Active NPI

Rosemary Owusu Agyepong

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1881342301
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019550 Issued in CA
Practice address
3125 Myers St
Riverside, CA 92503-5527
Phone
(951) 358-7923
NPI assigned
Mar 14, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019550 CA Primary

Addresses

Primary practice location

3125 Myers St
Riverside, CA 92503-5527

Mailing address

13103 Quarter Horse Dr
Eastvale, CA 92880-3910
Phone (909) 455-4663

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ragyepong@ruhealth.org Health Information Exchange (HIE) Riverside University health System-Behavioral Health

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
95019550CAMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ragyepong@ruhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1881342301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13103 QUARTER HORSE DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803910",
            "telephone_number": "909-455-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MYERS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035527",
            "telephone_number": "951-358-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEPONG",
        "first_name": "ROSEMARY",
        "middle_name": "OWUSU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ragyepong@ruhealth.org",
            "affiliation": "Y",
            "affiliationName": "Riverside University health System-Behavioral Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3125 Myers St",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925035527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.