Individual provider Active NPI

Beatrice Oyidiya Akaniro

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1942958905
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019748 Issued in CA
Practice address
11242 Luke St
Riverside, CA 92505-2590
Phone
(195) 153-1545
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019748 CA Primary

Addresses

Primary practice location

11242 Luke St
Riverside, CA 92505-2590

Mailing address

11242 Luke St
Riverside, CA 92505-2590
Phone (195) 153-1545

Other identifiers 1

IdentifierTypeStateIssuer
95019748OtherCANURSE PRACTITIONER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address beatrice.akaniro@hcahealthcare.com Health Information Exchange (HIE)
CONNECT URL beatrice.akaniro@hcahealthcare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251110002654 CA Order and Referring Only - Nurse Practitioner 2365932084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95019748CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1942958905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 LUKE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052590",
            "telephone_number": "195-153-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11242 LUKE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052590",
            "telephone_number": "195-153-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANIRO",
        "first_name": "BEATRICE",
        "middle_name": "OYIDIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "95019748",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beatrice.akaniro@hcahealthcare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11242 Luke St",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925052590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beatrice.akaniro@hcahealthcare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "beatrice.akaniro@hcahealthcare.com",
            "address_1": "4445 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925014135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.