Individual provider Active NPI

Emiliana Ezechigbo

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1114385762
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128425 Issued in TX
Practice address
9100 Southwest Fwy Ste 165
Houston, TX 77074-1519
Phone
(832) 729-5610
Fax
(832) 916-2426
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 AP128425 TX Primary

Addresses

Primary practice location

9100 Southwest Fwy Ste 165
Houston, TX 77074-1519

Mailing address

14406 Parkesgate Dr
Houston, TX 77083-5789
Phone (832) 729-5610

Other practice location 1

14406 Parkesgate Dr
Houston, TX 77083-5789
Phone (832) 212-4739

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
I20200204000429 TX Practitioner - Nurse Practitioner 3476829771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9100 Southwest Fwy
Suite 165
Houston, TX 77074-1519
Phone (832) 729-5610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128425TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C Divine LLC Family CurrentSince Dec 11, 2019 Accepting new patients
Shiloh C Divine Healthcare Service Family PastSince Nov 8, 2025 Accepting new patients

Locations

9100 Southwest Fwy
Ste 165
Houston, TX 77074
Phone (281) 699-4343

Organizations & group practices 2

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1114385762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14406 PARKESGATE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835789",
            "telephone_number": "832-729-5610",
            "fax_number": "832-916-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SOUTHWEST FWY STE 165",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741519",
            "telephone_number": "832-729-5610",
            "fax_number": "832-916-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14406 Parkesgate Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770835789",
            "country_code": "US",
            "telephone_number": "832-212-4739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZECHIGBO",
        "first_name": "EMILIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.