Individual provider Active NPI

Chizurum Epeagba, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1275235681
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03230115 Issued in TX
Practice address
6409 Bandera Rd
San Antonio, TX 78238-1512
Phone
(210) 549-4400
NPI assigned
Mar 20, 2023
Last updated
Jun 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03230115 TX Primary

Addresses

Primary practice location

6409 Bandera Rd
San Antonio, TX 78238-1512

Mailing address

6409 Bandera Rd
San Antonio, TX 78238-1512
Phone (210) 549-4400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251112002911 TX Order and Referring Only - Nurse Practitioner 5799276283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F03230115TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1275235681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381512",
            "telephone_number": "210-549-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381512",
            "telephone_number": "210-549-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPEAGBA",
        "first_name": "CHIZURUM",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F03230115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.