Uloma Rebeccah Iwuala

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1206646 Issued in TX

Practice address

5739 Tianna Lace
San Antonio, TX 78253-6269

Phone

(956) 414-6548

NPI assigned

Aug 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1033094255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5739 TIANNA LACE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5739 TIANNA LACE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536269",
            "telephone_number": "956-414-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUALA",
        "first_name": "ULOMA",
        "middle_name": "REBECCAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1206646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Lane Dentistry
• Jolianne Elisa Ivy
• Benson Oke Iwe
• Joy Ihuoma Iweh
• Jude C Iwuala
• Destiny Ezinna Iwuh, MD
• Linda Obiamaka Iwuoha, APRN , PMHNP-BC
• Mukunda Iyengar
• Varun Iyer, DMD
• Angelina Iyinbor, MD

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.