Individual provider Active NPI

Appolonia Onwuanaegbule, NP-C

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1962755231
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122623 Issued in TX
Practice address
3201 Interstate 30 Ste B2
Mesquite, TX 75150-2602
Phone
(972) 807-6212
Fax
(866) 695-5052
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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 AP122623 TX Primary

Addresses

Primary practice location

3201 Interstate 30 Ste B2
Mesquite, TX 75150-2602

Mailing address

3201 Interstate 30 Ste B2
Mesquite, TX 75150-2602

Other practice location 1

1209 Ottawa Ln
Lewisville, TX 75077-2985
Phone (469) 528-0297

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

State licenses

LicenseStateTypeSpecialty
AP122623TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuwell Medical Group Inc Past Accepting new patients

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1962755231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 INTERSTATE 30 STE B2",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502602",
            "fax_number": "866-695-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 INTERSTATE 30 STE B2",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502602",
            "telephone_number": "972-807-6212",
            "fax_number": "866-695-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Ottawa Ln",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750772985",
            "country_code": "US",
            "telephone_number": "469-528-0297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONWUANAEGBULE",
        "first_name": "APPOLONIA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.