Able Integrative Practice LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ABLE INTEGRATIVE PRACTICE LLC

Practice address

17822 Planters Path LN
Richmond, TX 77407-5183

Phone

(610) 401-3870

NPI assigned

Mar 28, 2024

Organization subpart

No

Name

Nneka Ezinwanne Ikedinma

Title

Managing Member

Phone

(507) 629-0598

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2024.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1306697487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 PLANTERS PATH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075183",
            "telephone_number": "610-401-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 PLANTERS PATH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075183",
            "telephone_number": "610-401-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE INTEGRATIVE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "IKEDINMA",
        "authorized_official_first_name": "NNEKA",
        "authorized_official_middle_name": "EZINWANNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "507-629-0598"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Richmond, TX
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.