Individual provider Active NPI

Christiana Oge Nwamuo, RN,BSN,MSN-PH

  • Hospice Registered Nurse
  • Garland, TX
National Provider Identifier
1124616180
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
648298 Issued in TX
Practice address
5730 Bentley Dr Ste B
Garland, TX 75043-5460
Phone
(469) 869-6999
Fax
(214) 328-6210
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 648298 TX Primary

Addresses

Primary practice location

5730 Bentley Dr Ste B
Garland, TX 75043-5460

Mailing address

5730 Bentley Dr Ste B
Garland, TX 75043-5460
Phone (469) 869-6999

Other identifiers 1

IdentifierTypeStateIssuer
01052021MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
648298TXMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Legend Home Healthcare, Inc. Current Accepting new patients
CJ Health and Hospice, Inc Hospice CurrentSince Aug 29, 2021 Accepting new patients

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1124616180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BENTLEY DR STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435460",
            "telephone_number": "469-869-6999",
            "fax_number": "214-328-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BENTLEY DR STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435460",
            "telephone_number": "469-869-6999",
            "fax_number": "214-328-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAMUO",
        "first_name": "CHRISTIANA",
        "middle_name": "OGE",
        "credential": "RN,BSN,MSN-PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TX",
            "license": "648298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01052021",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.