Individual provider Active NPI

Kimberly Ezinwa Acholonu, ARNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1235762030
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61040746 Issued in WA
Practice address
1225 North Loop W
Houston, TX 77008-4722
Phone
(832) 402-9142
Fax
(832) 835-5580
NPI assigned
Feb 20, 2020
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61040746 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1042917 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61040746 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4861876 ID

Addresses

Primary practice location

1225 North Loop W
Houston, TX 77008-4722

Mailing address

9801 Westheimer Rd
Houston, TX 77042-3950
Phone (832) 402-9142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, ID, OR, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20250128004096 TX Practitioner - Nurse Practitioner 4284163734 Reassigns benefits to 1 organization
I20250211001412 AZ Practitioner - Nurse Practitioner 4284163734 Reassigns benefits to 1 organization
I20250211001573 ID Practitioner - Nurse Practitioner 4284163734 Reassigns benefits to 1 organization
I20250211002998 OR Practitioner - Nurse Practitioner 4284163734 Reassigns benefits to 1 organization
I20250213002907 WA Practitioner - Nurse Practitioner 4284163734 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4861876IDMDPsychiatric/Mental Health Nurse Practitioner
1042917TXMDPsychiatric/Mental Health Nurse Practitioner
AP61040746WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 24, 2024 Accepting new patients
Cura Meadows Mental Health, PLLC Psychiatric/Mental Health CurrentSince Dec 31, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

1225 North Loop W
Houston, TX 77008
Phone (832) 402-9142

1225 North Loop W
Ste 935
Houston, TX 77008
Phone (281) 903-5897

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

9801 Westheimer Rd
Ste 300
Houston, TX 77042
Phone (713) 714-3137

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1235762030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423950",
            "telephone_number": "832-402-9142",
            "fax_number": "832-835-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084722",
            "telephone_number": "832-402-9142",
            "fax_number": "832-835-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHOLONU",
        "first_name": "KIMBERLY",
        "middle_name": "EZINWA",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61040746",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1042917",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61040746",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "4861876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.