Nkechinyere Concilia Iwuorisha

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144371 Issued in TX

Practice address

929 Gessner Rd
Houston, TX 77024-2515

Phone

(713) 242-3720

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mava Healthcare System LLCGroup PAC ID 9436586153, 14 clinicians

Cufa Behavioral Health Services IncGroup PAC ID 6103096995, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cufa Behavioral Health Services Inc

  • Psychiatry Physician
  • Houston, TX
  • NPI 1114211133

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mava Healthcare System LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spring, TX
  • NPI 1942854583

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1134769656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 BRANT ROCK DR APT 2608",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825441",
            "telephone_number": "832-461-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242515",
            "telephone_number": "713-242-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUORISHA",
        "first_name": "NKECHINYERE",
        "middle_name": "CONCILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419118103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419118101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emenderlyn Iwuji, RN
• Leo Iwuji
• Chikezie Iwundu
• Edna C Iwundu
• Uchechukwu Iwuorie
• Ixi Wellness Dallas LLC
• Ixi Wellness Houston LLC
• Esohe Iyamu-Osagiede, MD
• Sera Oluwakemi Iyanoye, APRN, FNP-C
• Deepa Iyengar, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.