Eberechukwu Ezi Olawale, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1031537 Issued in TX

Practice address

9250 Pinecroft Dr
Shenandoah, TX 77380-3218

Phone

(713) 897-4600

NPI assigned

Mar 9, 2021

Last updated

Mar 9, 2021By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1215512462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S KNIGHTS CROSSING DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821495",
            "telephone_number": "469-387-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 PINECROFT DR",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803218",
            "telephone_number": "713-897-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAWALE",
        "first_name": "EBERECHUKWU",
        "middle_name": "EZI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1031537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan A O'Banion, PA-C
• Patrick Toluwatele Ogidan, M.D.
• Sharon Tiwalola Ogidan, MD
• Itai Ojo, DO
• Ginikanwa Okafor
• Kelechukwu Anne Olejeme, MD, MPH
• Olivia Bauer Counseling PLLC
• Ineke Maria Olsthoorn, PHD
• Olanrewaju Omobola Olurode, FNP-C
• Oncology Pharmacy Services , Inc. (Texas Oncology Pharmacy -The Woodlands)

• Acute Care Nurse Practitioner in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.