Individual provider Active NPI

Loreta Ngozi Chukwu-Duru

  • Psychiatric/Mental Health Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1184356370
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1181310 Issued in TX
Practice address
3535 Laurel Bay Loop
Round Rock, TX 78681-1120
Phone
(512) 663-7573
NPI assigned
Jun 27, 2022
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1181310 TX Primary

Addresses

Primary practice location

3535 Laurel Bay Loop
Round Rock, TX 78681-1120

Mailing address

3535 Laurel Bay Loop
Round Rock, TX 78681-1120
Phone (512) 663-7573

Other identifiers 1

IdentifierTypeStateIssuer
721533OtherTXNURSING

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
I20250627002426 TX Practitioner - Nurse Practitioner 4880107457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Psychcare of Dallas I PLLCGroup PAC ID 2466625371, 46 clinicians

Practice addresses (Care Compare)

512 Draper Dr
Temple, TX 76504-2911
Phone (713) 850-0049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1181310TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of Dallas I, PLLC Psychiatric/Mental Health CurrentSince Jun 9, 2025 Accepting new patients

Locations

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

1000 E Avenue J
Lampasas, TX 76550
Phone (512) 556-6267

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

512 Draper Dr
Temple, TX 76504
Phone (254) 742-7500

Organizations & group practices 1

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1184356370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LAUREL BAY LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811120",
            "telephone_number": "512-663-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 LAUREL BAY LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811120",
            "telephone_number": "512-663-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWU-DURU",
        "first_name": "LORETA",
        "middle_name": "NGOZI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1181310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "721533",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.