Individual provider Active NPI

Christine Nkem Chioma, NURSE

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1083972608
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP141482 Issued in TX
Practice address
5900 Balcones Dr
Austin, TX 78731-4257
Phone
(281) 247-5885
Fax
(281) 741-3868
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 703142 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP141482 TX Primary

Addresses

Primary practice location

5900 Balcones Dr
Austin, TX 78731-4257

Mailing address

5900 Balcones Dr
Austin, TX 78731-4257
Phone (281) 247-5885

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Jefferson St
Suite 2C
Lynchburg, VA 24504-1723

10105 Milla Cir
Austin, TX 78748-3908

1430 Collier St
Austin, TX 78704-2911

1500 Pappas S
Laredo, TX 78041-1701

1500 Pappas St
Laredo, TX 78041-1701

2002 Holcombe Blvd
Houston, TX 77030-4211

2626 S Loop W
Suite 415
Houston, TX 77056

3108 Cactus Grove LN
Pearland, TX 77584-2834

P O Box
Suite 725
Lytle, TX 78052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
703142TXMDRegistered Nurse
AP141482TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tmo Medical and Rehab Past Accepting new patients
Life Mental Health Services of Texas, LLC Past Accepting new patients
Jadazch Balm Care Inc PastSince Jan 31, 2012 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1083972608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "281-247-5885",
            "fax_number": "713-794-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "281-247-5885",
            "fax_number": "281-741-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIOMA",
        "first_name": "CHRISTINE",
        "middle_name": "NKEM",
        "name_prefix": "Mrs.",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "703142",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.