Individual provider Active NPI

Onyinyechi Nnenna Nwakanma, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1164138467
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1109021 Issued in TX
Practice address
1506 Broadway St Ste 211
Pearland, TX 77581-5858
Phone
(347) 256-8352
NPI assigned
Jan 30, 2023
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1109021 TX Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1109021 TX

Addresses

Primary practice location

1506 Broadway St Ste 211
Pearland, TX 77581-5858

Mailing address

3802 Somerville Lake CT
Pearland, TX 77581-4780
Phone (347) 256-8352

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
I20230814002796 TX Practitioner - Nurse Practitioner 7618152224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1506 Broadway St
Suite 101
Pearland, TX 77581-5837
Phone (831) 789-3182

1506 Broadway St
Suite 101
Pearland, TX 77581-5838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1109021TXMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Mental Health Psychiatry Psychiatric/Mental Health CurrentSince Jun 28, 2023 Accepting new patients
Ardent Healthcare Services, Inc PastSince Feb 8, 2023 Accepting new patients
Imo Sleep Solutions LLC PastSince Apr 1, 2023 Accepting new patients

Locations

1300 Bay Area Blvd
Ste B15001
Houston, TX 77058
Phone (347) 256-8352

1506 Broadway St
Ste 101
Pearland, TX 77581
Phone (281) 996-7410

1506 Broadway St
Ste 211
Pearland, TX 77581
Phone (281) 455-2017

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1164138467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 SOMERVILLE LAKE CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814780",
            "telephone_number": "347-256-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 BROADWAY ST STE 211",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815858",
            "telephone_number": "347-256-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAKANMA",
        "first_name": "ONYINYECHI",
        "middle_name": "NNENNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1109021",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1109021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.