Ugorji Wilson Onyeani, RN,MD

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

283584 Issued in AZ

Practice address

1241 E Broadway Rd Ste 14
Mesa, AZ 85204-2254

Phone

(847) 766-9779

NPI assigned

Nov 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Registered Nurse

State licenses

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1992413108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E BROADWAY RD STE 14",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042254",
            "telephone_number": "847-766-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E BROADWAY RD STE 14",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042254",
            "telephone_number": "847-766-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEANI",
        "first_name": "UGORJI",
        "middle_name": "WILSON",
        "name_prefix": "Prof.",
        "credential": "RN,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "283584",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9603230",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "283584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@nativecountryhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1241 E Broadway Rd Ste 14",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852042254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@nativecountryhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1241 E Broadway Rd Ste 14",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852042254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatric/Mental Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.