Individual provider Active NPI

Brain U Nwaozuzu, CNP

  • Family Nurse Practitioner
  • East Cleveland, OH
National Provider Identifier
1922385954
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010005436 Issued in OH
Practice address
13944 Euclid Ave
East Cleveland, OH 44112-3832
Phone
(216) 767-4254
NPI assigned
Nov 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2010005436 OH Primary
Pediatric Nurse Practitioner 363LP0200X 20100161 OH

Addresses

Primary practice location

13944 Euclid Ave
East Cleveland, OH 44112-3832

Mailing address

3702 Avondale Rd
Beachwood, OH 44122-4504
Phone (216) 767-4254

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)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2010005436OHMDFamily Nurse Practitioner
20100161OHMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1922385954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 AVONDALE RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224504",
            "telephone_number": "216-767-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13944 EUCLID AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441123832",
            "telephone_number": "216-767-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOZUZU",
        "first_name": "BRAIN",
        "middle_name": "U",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2010005436",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "20100161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.