Judith Ogechi Agwu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

266826 Issued in MA

Practice address

20 Basswood Blvd Unit 13
Worcester, MA 01605-2427

Phone

(978) 726-9355

NPI assigned

Apr 26, 2023

Last updated

May 16, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1902594062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BASSWOOD BLVD UNIT 13",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052427",
            "telephone_number": "978-726-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BASSWOOD BLVD UNIT 13",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052427",
            "telephone_number": "978-726-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGWU",
        "first_name": "JUDITH",
        "middle_name": "OGECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "266826",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "266826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Maria Aguilar Bonilla
• Brayan Aguilar
• Samantha Aguilar
• Marlena Josephine Aguirre, RD, LDN
• Zulfau Agwedicham, MD
• Eric Agyekum
• Nasya Agyekum
• Freda Agyemang, NURSE PRACTITIONER
• Mercedez G Agyemfra, DDS, MPH
• Kwame Agyen

• Psychiatric/Mental Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.