Nkechi Renneth Idemudia, APRN, MNS, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0716146 Issued in TX

Practice address

2109 W Spring Creek Pkwy
Plano, TX 75023-4189

Phone

(972) 618-3547

NPI assigned

Aug 20, 2016

Last updated

Apr 20, 2017By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Invicta Family Healthcare Clinic PLLCGroup PAC ID 6507137395, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17636/brand/1/csg/1/fhir/r4
• Direct secure messaging: nkechi.idemudia.1@17636.direct.athenahealth.com

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.

• Invicta Family Healthcare Clinic, PLLC

  dba Regional Health Clinic at Terrell, PLLC

  • Gerontology Nurse Practitioner
  • Terrell, TX
  • NPI 1093235046
  Medicare reassignment Care Compare group NPD
• Regional Health Clinic at Terrell PLLC

  • Family Nurse Practitioner
  • Terrell, TX
  • NPI 1306119490
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Pointe Operating Company, LLC

  dba Baylor Scott & White Medical Center Lake Pointe

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1083169973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 W SPRING CREEK PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234518",
            "telephone_number": "972-618-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 W SPRING CREEK PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234189",
            "telephone_number": "972-618-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEMUDIA",
        "first_name": "NKECHI",
        "middle_name": "RENNETH",
        "credential": "APRN, MNS, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0716146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Alternative Support
• Ideal Dental of Plano (Parkview Dental)
• Ideal Dental of Preston Creek PLLC (Plano Center Dental)
• Ideal Dental of Willow Bend PLLC
• Ideal Physical Therapy of Texas LLC (ATI Physical Therapy)
• Idocsweb Corp
• Idocsweb LLC
• Ifc Pharmacy Consultants (MedScript Pharmacy)
• Francis Ifedigbo
• Afsaneh Ighani, MD

• Family Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.