Active NPIIndividual provider

Kennedy O Anyanwu, NP

Nurse Practitioner, Psych/Mental Health in Eugene, Oregon

NPI Number1013507276
Practice location
66 Club RD Ste 120, Eugene, OR 97401-2439
Fax
—
Last updated
July 22, 2025

Kennedy O Anyanwu, NP is a Nurse Practitioner, Psych/Mental Health based in Eugene, OR. Kennedy O Anyanwu, NP holds the professional credentials of NP. The NPI number for Kennedy O Anyanwu, NP is 1013507276 and holds license No. 1020418 (TX). The current practice location address is 66 Club RD Ste 120, Eugene, OR 97401-2439 and the office can be reached by phone at 832-267-6258. The NPI was assigned on January 21, 2021 and the record was last updated in NPPES on July 22, 2025.

●Provider Profile Details

NPI Number
1013507276
Provider Name
Kennedy Ogbonna Anyanwu
Credential
NP
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Enumeration Date
January 21, 2021
Last Update Date
July 22, 2025
Certification Date
July 22, 2025
NPI Status
Active

◉Business Practice Location Address

Address
66 Club RD Ste 120
Eugene, OR 97401-2439
City
Eugene
State
Oregon
ZIP
97401-2439
Country
US
Phone Number
832-267-6258

Get directions →

✉Business Mailing Address

Address
66 Club RD Ste 120
Eugene, OR 97401-2439
City
Eugene
State
OR
ZIP
97401-2439
Phone Number
832-267-6258

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Psych/Mental Health363LP0808XNo1020418TX
Nurse Practitioner, Psych/Mental Health363LP0808XYes10016721OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Kennedy O Anyanwu, NP?

The NPI number of Kennedy O Anyanwu, NP is 1013507276. It was assigned on January 21, 2021 and is currently active in the NPPES registry.

What is the specialty of Kennedy O Anyanwu, NP?

Kennedy O Anyanwu, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X) and holds license No. 1020418 (TX).

Where does Kennedy O Anyanwu, NP practice?

The practice location is 66 Club RD Ste 120, Eugene, OR 97401-2439. The office can be reached at 832-267-6258 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013507276 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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