Individual provider Active NPI

Henrietta Okonkwor

  • Primary Care Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1235515164
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP128469 Issued in TX
Practice address
772 N Townville St
Seneca, SC 29678-2645
Phone
(864) 886-9300
Fax
(864) 886-9399
NPI assigned
Aug 3, 2015
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP128469 TX Primary

Addresses

Primary practice location

772 N Townville St
Seneca, SC 29678-2645

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

10101 Bissonnet St Ste 105
Houston, TX 77036-7856
Phone (832) 690-8995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rajan Kadakia, M.D. P.a. CurrentSince Dec 1, 2023 Accepting new patients
HBH Secva Cardiology Associates, PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

11920 Astoria Blvd
Ste 340
Houston, TX 77089
Phone (281) 506-8720

1240 Clear Lake City Blvd
Ste 200
Houston, TX 77062
Phone (281) 506-8720

2555 Gulf Fwy S
Ste 500
League City, TX 77573
Phone (281) 481-9400

10905 Memorial Hermann Dr
Ste 209
Pearland, TX 77584
Phone (281) 506-8720

10905 Memorial Hermann Dr
Ste 211
Pearland, TX 77584
Phone (281) 665-4444

450 Blossom St
Ste A
Webster, TX 77598
Phone (281) 506-8720

Interoperability endpoints

  • Direct secure messaging: hokonkwor66461@memorialhermann.direct-ci.com

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, 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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1235515164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 N TOWNVILLE ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782645",
            "telephone_number": "864-886-9300",
            "fax_number": "864-886-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Bissonnet St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770367856",
            "country_code": "US",
            "telephone_number": "832-690-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKONKWOR",
        "first_name": "HENRIETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP128469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.