Individual provider Active NPI

Nneka Mariagoretti Onyia

  • Psychiatric/Mental Health Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1932884137
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
292817 Issued in AZ
Practice address
1215 N Ivy Loop Ste 101
Casa Grande, AZ 85122-5406
Phone
(480) 544-4400
Fax
(480) 534-6706
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 292817 AZ Primary

Addresses

Primary practice location

1215 N Ivy Loop Ste 101
Casa Grande, AZ 85122-5406

Mailing address

1215 N Ivy Loop Ste 101
Casa Grande, AZ 85122-5406
Phone (480) 544-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240212003689 AZ Practitioner - Nurse Practitioner 2961845441 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renue Psychiatry PLLC Psychiatric/Mental Health CurrentSince Dec 12, 2023 Accepting new patients

Locations

1215 N Ivy Loop
Ste 101
Casa Grande, AZ 85122
Phone (480) 544-4400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1932884137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N IVY LOOP STE 101",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225406",
            "telephone_number": "480-544-4400",
            "fax_number": "480-534-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N IVY LOOP STE 101",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225406",
            "telephone_number": "480-544-4400",
            "fax_number": "480-534-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYIA",
        "first_name": "NNEKA",
        "middle_name": "MARIAGORETTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "292817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.