Individual provider Active NPI

Nicholas Chinonso Atumah, RN,BSN

  • Home Health Registered Nurse
  • Texas, TX
National Provider Identifier
1003225541
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
823233 Issued in TX
Practice address
904 Water Garden Circle
Little Elm
Texas, TX 75044-5624
Phone
(214) 384-2949
Fax
(469) 379-2681
NPI assigned
Aug 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 823233 TX
Home Health Registered Nurse 163WH0200X 823233 TX Primary
Hospice Registered Nurse 163WH1000X 823233 TX
Community Health Registered Nurse 163WC1500X 823233 TX

Addresses

Primary practice location

904 Water Garden Circle
Little Elm
Texas, TX 75044-5624

Mailing address

904 Water Garden Circle
Little Elm
Texas, TX 75044-5624
Phone (214) 384-2949

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
823233TXMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
I Serve Healthcare Services LLC CurrentSince Oct 27, 2024 Accepting new patients
Extra Healthcare Services, LLC Past Accepting new patients

Organizations & group practices 2

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1003225541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WATER GARDEN CIRCLE",
            "address_2": "LITTLE ELM",
            "city": "TEXAS",
            "state": "TX",
            "postal_code": "750445624",
            "telephone_number": "214-384-2949",
            "fax_number": "469-379-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WATER GARDEN CIRCLE",
            "address_2": "LITTLE ELM",
            "city": "TEXAS",
            "state": "TX",
            "postal_code": "750445624",
            "telephone_number": "214-384-2949",
            "fax_number": "469-379-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATUMAH",
        "first_name": "NICHOLAS",
        "middle_name": "CHINONSO",
        "credential": "RN,BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-08",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "823233",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "823233",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TX",
            "license": "823233",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "823233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.