Sonnie K Owusu, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R221924 Issued in MD

Practice address

5400 Old Court Rd Ste 300
Randallstown, MD 21133-5100

Phone

(410) 521-7337

Fax

(410) 521-7377

NPI assigned

Nov 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sonnie C Kekulah Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
  • NPI 1740086149
  NPD
• Lifebridge Community Physicians, Inc

  • Internal Medicine Physician
  • Westminster, MD
  • NPI 1093141616
  NPD
• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807
  NPD
• Lifebridge Suburban Physician Group II LLC

  • Pediatric Adolescent Medicine Physician
  • Randallstown, MD
  • NPI 1194170027
  NPD
• Lifebridge Suburban Physician Group II LLC

  • Pediatrics Physician
  • Glen Burnie, MD
  • NPI 1619427978
  NPD
• Lifebridge Suburban Physician Group II, LLC

  • Pediatrics Physician
  • Lutherville, MD
  • NPI 1851835136
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1226793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1881848950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 DORSET ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361411",
            "telephone_number": "718-629-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 OLD COURT RD STE 300",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335100",
            "telephone_number": "410-521-7337",
            "fax_number": "410-521-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "SONNIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-16",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R221924",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONNIE",
            "last_name": "KEKULAH",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Organizational Pathways, LLC
• Florence Osano
• Our Liberty Pharmacy
• Our Liberty Pharmacy
• Dorothy Ranson Outten, PA-C
• David Oyawale, PHARMD
• PA Terrapin Healthare LLC
• Betty Paintsil, NURSE PRACTITIONER
• Sheshagiri Palakurthi, PHARMACIST
• Ellison Jinwoo Park, PHARMD

• Pediatric Nurse Practitioner in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.