Active NPI
Lucia Udeoji, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1922756485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11816
- Practice address
- 6633 W Burleigh St
Milwaukee, WI 53210-1318 - Phone
- (414) 810-8378
- NPI assigned
- Mar 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11816 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11816 | WI | Primary |
Addresses
Primary practice location
6633 W Burleigh St
Milwaukee, WI 53210-1318
Mailing address
6633 W Burleigh St
Milwaukee, WI 53210-1318
Phone (414) 810-8378
Other practice location 1
4555 W Schroeder Dr
Brown Deer, WI 53223-1475
Phone (800) 767-4411
Other practice location 2
4600 W Schroeder Dr
Brown Deer, WI 53223-6458
Phone (800) 767-4411
Medicare participation
Medicare enrollment files- 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: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1922756485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6633 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101318",
"telephone_number": "414-810-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6633 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101318",
"telephone_number": "414-810-8378"
}
],
"practiceLocations": [
{
"address_1": "4555 W Schroeder Dr",
"address_purpose": "LOCATION",
"city": "Brown Deer",
"state": "WI",
"postal_code": "532231475",
"country_code": "US",
"telephone_number": "800-767-4411",
"fax_number": "414-797-0804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4600 W Schroeder Dr",
"address_purpose": "LOCATION",
"city": "Brown Deer",
"state": "WI",
"postal_code": "532236458",
"country_code": "US",
"telephone_number": "800-767-4411",
"fax_number": "414-797-0804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UDEOJI",
"first_name": "LUCIA",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "11816",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "11816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.