Individual provider Active NPI

Stephanie Chiedu, REGISTERED NURSE

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1285494146
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
930360 Issued in TX
Practice address
3000 Wilcrest Dr Ste 157
Houston, TX 77042-3365
Phone
(346) 233-1030
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 930360 TX
Prosthetic/Orthotic Supplier 335E00000X 930360 TX Primary

Addresses

Primary practice location

3000 Wilcrest Dr Ste 157
Houston, TX 77042-3365

Mailing address

3000 Wilcrest Dr # 157
Houston, TX 77042-3365
Phone (346) 233-1030

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
930360TXMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Finesse Concierge Nurse Prosthetic/Orthotic Supplier CurrentSince Mar 31, 2024 Accepting new patients

Locations

3000 Wilcrest Dr
Ste 157
Houston, TX 77042
Phone (346) 233-1030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1285494146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WILCREST DR # 157",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423365",
            "telephone_number": "346-233-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WILCREST DR STE 157",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423365",
            "telephone_number": "346-233-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEDU",
        "first_name": "STEPHANIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "930360",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "930360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.