Individual provider Active NPI

E. Chinyere Nwanna, FNP- C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1073746566
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
546592 Issued in TX
Practice address
14215 S Post Oak Rd
Houston, TX 77045-5233
Phone
(713) 433-4536
Fax
(713) 433-6708
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

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 546592 TX Primary

Addresses

Primary practice location

14215 S Post Oak Rd
Houston, TX 77045-5233

Mailing address

14215 S Post Oak Rd
Houston, TX 77045-5233
Phone (713) 433-4536

Other identifiers 1

IdentifierTypeStateIssuer
282913701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101001450 TX Practitioner - Nurse Practitioner 5890889018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3003 S Loop W
Suite 555
Houston, TX 77054-1378

6666 Harwin Dr
Suite 590
Houston, TX 77036-2268
Phone (713) 433-4536

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Family Clinic PC CurrentSince Sep 2, 2010 Accepting new patients

Locations

3003 S Loop W
Ste 555
Houston, TX 77054
Phone (713) 433-4536

14215 S Post Oak Rd
Houston, TX 77045
Phone (713) 433-4536

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402704000000",
    "number": "1073746566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455233",
            "telephone_number": "713-433-4536",
            "fax_number": "713-433-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455233",
            "telephone_number": "713-433-4536",
            "fax_number": "713-433-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANNA",
        "first_name": "E.",
        "middle_name": "CHINYERE",
        "credential": "FNP- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2014-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "546592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282913701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.