Individual provider Active NPI

Evelyn Uzoamaka Eluke

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1891965752
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
291670 Issued in NY
Practice address
801 E 241St St
Bronx, NY 10470-1303
Phone
(718) 671-2100
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 26974 TX
Licensed Practical Nurse 164W00000X 291670 NY Primary

Addresses

Primary practice location

801 E 241St St
Bronx, NY 10470-1303

Mailing address

2811 Rivermist LN
Richmond, TX 77406-1561
Phone (646) 352-3245

Other practice location 1

1008 Summit Ave
apt. 5D
Bronx, NY 10452-5035
Phone (646) 352-3245

Other practice location 2

1008 Summit Ave
apt. 5D
Bronx, NY 10452-5035
Phone (646) 352-3245

Other practice location 3

2811 Rivermist Ln
Richmond, TX 77406
Phone (646) 352-3245

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
26974TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1891965752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 RIVERMIST LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061561",
            "telephone_number": "646-352-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 241ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701303",
            "telephone_number": "718-671-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 Summit Ave",
            "address_2": "apt. 5D",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104525035",
            "country_code": "US",
            "telephone_number": "646-352-3245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Summit Ave",
            "address_2": "apt. 5D",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104525035",
            "country_code": "US",
            "telephone_number": "646-352-3245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2811 Rivermist Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "77406",
            "country_code": "US",
            "telephone_number": "646-352-3245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELUKE",
        "first_name": "EVELYN",
        "middle_name": "UZOAMAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "26974",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "291670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.