Individual provider Active NPI

Chinwendu Mariaperpetua Nnokwutem

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1053984252
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10210311 Issued in TX
Practice address
1333 Moursund St
Houston, TX 77030-3405
Phone
(713) 797-7500
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10210311 TX Primary

Addresses

Primary practice location

1333 Moursund St
Houston, TX 77030-3405

Mailing address

1333 Moursund St
Houston, TX 77030-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10210311TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steven K. Lin, M.D., P.a. CurrentSince Jul 26, 2024 Accepting new patients

Locations

9551 Fannin St
Houston, TX 77045
Phone (713) 331-0259

1333 Moursund St
Houston, TX 77030
Phone (713) 797-5912

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 1

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": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1053984252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303405",
            "telephone_number": "713-797-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNOKWUTEM",
        "first_name": "CHINWENDU",
        "middle_name": "MARIAPERPETUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F10210311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.