Individual provider Active NPI

Catherine Ijeoma Nnadozie

  • Psychiatric/Mental Health Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1235695008
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP141252 Issued in TX
Practice address
590 Medical Center Road Fort Cavazos
Killeen, TX 76544-6077
Phone
(254) 618-7727
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 797751 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP141252 TX Primary

Addresses

Primary practice location

590 Medical Center Road Fort Cavazos
Killeen, TX 76544-6077

Mailing address

5106 Katy Creek LN
Killeen, TX 76549-6077
Phone (808) 223-2496

Other identifiers 2

IdentifierTypeStateIssuer
797751OtherTXTEXAS BOARD OF NURSING
2018087484OtherMDANCC

Other names 1

  • Miss Catherine Ijeoma Ononiwu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
797751TXMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1235695008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 KATY CREEK LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496077",
            "telephone_number": "808-223-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD FORT CAVAZOS",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765446077",
            "telephone_number": "254-618-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNADOZIE",
        "first_name": "CATHERINE",
        "middle_name": "IJEOMA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "TX",
            "license": "797751",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "797751",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2018087484",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "ONONIWU",
            "middle_name": "IJEOMA",
            "prefix": "MISS",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.