Ezenwanyi Queen Kanu, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1168728 Issued in TX

Practice address

1875 Highway 6 Ste 300
Sugar Land, TX 77478-5098

Phone

(832) 604-5332

NPI assigned

Jul 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment NPD
• Vanguard Inpatient Physicians, PLLC

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1801339742
  Medicare reassignment NPD
• Ivx Health of Texas P.a.

  • Clinic/Center
  • Austin, TX
  • NPI 1831977255
  NPD

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1316775992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 HICKORY DEER LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 HIGHWAY 6 STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785098",
            "telephone_number": "832-604-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANU",
        "first_name": "EZENWANYI",
        "middle_name": "QUEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kan, DDS
• Wael Kanaan
• Vikas S Kancherla, M.D.
• Ranganath Kandala, MD
• Justin Kang, DDS
• Eesha Kapila, FNP-C
• Sherry Lyn Kaplan, LPC
• Karen L Dulyunan
• Kathryn A Karges, MD
• Katherine Kartman, PA-C

• Family Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.