Active NPI
Beryl Uzoamaka Ekakitie
- Psychiatric/Mental Health Nurse Practitioner
- Gainesville, FL
National Provider Identifier
1952073058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11015005
- Practice address
- 6101 NW 29TH St
Gainesville, FL 32653-1851 - Phone
- (610) 554-2370
- NPI assigned
- Sep 28, 2021
- Last updated
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11015005 | FL | Primary |
Addresses
Primary practice location
6101 NW 29TH St
Gainesville, FL 32653-1851
Mailing address
6101 NW 29TH St
Gainesville, FL 32653-1851
Phone (610) 554-2370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11015005 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NFETC | Health Information Exchange (HIE) | |
| FHIR URL | @myflfamilies.com | Health Information Exchange (HIE) | FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015005 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1952073058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 NW 29TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326531851",
"telephone_number": "610-554-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 NW 29TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326531851",
"telephone_number": "610-554-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKAKITIE",
"first_name": "BERYL",
"middle_name": "UZOAMAKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11015005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11015005",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NFETC",
"affiliation": "N",
"endpointDescription": "Psychiatric Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 NE 55th Blvd",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "326412783",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "@myflfamilies.com",
"affiliation": "Y",
"endpointDescription": "Job",
"affiliationName": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 NE 55th Blvd",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "326412783",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.