Chinyere Obiakwata, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP137635 Issued in TX

Practice address

201 Pruitt Rd Apt 430
Spring, TX 77380

Phone

(973) 640-0074

NPI assigned

Jul 17, 2017

Last updated

Mar 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vintage Primary Care, PLLC

  • Home Health Agency
  • Spring, TX
  • NPI 1679036693
  NPD (past) Authorized official

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1043732555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PRUITT RD APT 430",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803167",
            "telephone_number": "973-640-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PRUITT RD APT 430",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "973-640-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 UNION AVENUE, 2ND FLOOR",
            "address_2": "TOTAL SUPPORT MEDICAL GROUP",
            "address_purpose": "LOCATION",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "country_code": "US",
            "telephone_number": "862-772-3976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8307 Knight Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77054",
            "country_code": "US",
            "telephone_number": "713-796-9955 x104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIAKWATA",
        "first_name": "CHINYERE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00740100",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP137635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0582361",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oaks Family Practice, P.a. (Oaks Medical Center)
• Oaks Urgent Care Clinics, PLLC
• Oaks Urgent Care PA
• David Obasi, APRN, PMHNP-BC
• Alison Obey, LMSW
• Nicholas Obias
• Joan Obomese
• Brittany Ann Obrien
• Amina Obuekwe
• Juan Jose Ochoa

• Primary Care Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.