Obiageli Christiana Ezeanya, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704233690 Issued in MI

Practice address

6481 Royal Pointe Dr
West Bloomfield, MI 48322-2057

Phone

(313) 729-3970

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Bloomhealth Home Care Services, LLC.

  • Home Health Agency
  • Southfield, MI
  • NPI 1417284258
  NPD (past) Authorized official
• Wholistic Center for Restorative Health PLLC

  • Primary Care Clinic/Center
  • Southfield, MI
  • NPI 1770207680
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1992269146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 ROYAL POINTE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222057",
            "telephone_number": "313-729-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 ROYAL POINTE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222057",
            "telephone_number": "313-729-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEANYA",
        "first_name": "OBIAGELI",
        "middle_name": "CHRISTIANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704233690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER/ REGISTERED NURSE",
            "identifier": "4704233690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Salgado Evangelista III, MD
• Ruth Ann Ewing, RPH
• Excel Physical Medicine and Rehabilitation PC
• Expertise Home Health Care Agency LLC
• Brittany Eyestone
• Anne Fahey, SLP
• Lori Faitel
• Susan Faitler, LMSW
• Family Dentistry of West Bloomfield
• Jeffrey Edward Fantich, D.C.

• Family Nurse Practitioner in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.