Dieunette Joseph-Omwanghe, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0996191-NP Issued in CO

Practice address

430 Indiana St Ste 100
Golden, CO 80401-5012

Phone

(303) 736-9697

NPI assigned

Dec 18, 2020

Last updated

Mar 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Owl and Eagle Enterprises, LLC

  dba Owl & Eagle Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1437893906
  NPD
• Owl and Eagle Enterprises, LLC

  dba Owl & Eagle Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Golden, CO
  • NPI 1548852585
  NPD

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1912593385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 S FRASER CT APT F",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144180",
            "telephone_number": "706-403-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 INDIANA ST STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015012",
            "telephone_number": "303-736-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH-OMWANGHE",
        "first_name": "DIEUNETTE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0996191-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Aurora",
            "affiliation": "N",
            "endpointDescription": "Aurora",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Aurora",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4161 S Fraser Ct Apt F",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800144180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Henry M Johnston III, M.D.
• Barbara Jayne Jones, M.A., M.F.T.
• Claire Frances Jones
• Joni Handran LLC
• Jordan Gardner MD LLC (A Better Day Psychiatry)
• Camryn Joseph, LPCC
• Jalyn Marli Joseph, MD
• Scott Jossart, MD
• Joy and Play LLC
• Julie Poelchau, LLC

• Psychiatric/Mental Health Nurse Practitioner in Golden, CO
• Providers in Golden, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.