Organization Active NPI

Ijeoma Nnamani MD PA

  • Pediatrics Physician
  • Euless, TX
National Provider Identifier
1285026963
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P1376 Issued in TX
Legal business name
IJEOMA NNAMANI MD PA
Practice address
350 Westpark Way
Ste 123
Euless, TX 76040-3964
Phone
(817) 267-3065
Fax
(817) 545-9097
NPI assigned
Mar 4, 2015
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Ijeoma Nnamani, MDNPI 1487943239
Title
President/Owner
Phone
(214) 513-2421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P1376 TX Primary

Addresses

Primary practice location

350 Westpark Way
Ste 123
Euless, TX 76040-3964

Mailing address

350 Westpark Way
Ste 123
Euless, TX 76040-3964
Phone (817) 267-3065

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0685364Ijeoma Nnamani, MD PA350 Westpark Way Ste123, Euless, TX 76040Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

350 Westpark Way
Ste 123
Euless, TX 76040
Phone (817) 267-3065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11210/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1285026963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "STE 123",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-267-3065",
            "fax_number": "817-545-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "STE 123",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-267-3065",
            "fax_number": "817-545-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJEOMA NNAMANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "NNAMANI",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-513-2421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.