Active NPI
Henrietta Okonkwor
- Primary Care Nurse Practitioner
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP128469
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajan Kadakia, M.D. P.a. | Current | Accepting new patients | |
| HBH Secva Cardiology Associates, PLLC | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1952020224
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1417272691
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.