Individual provider Active NPI

Uchenna Obumneke Nwanna, FNP-BC

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1386070977
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126546 Issued in TX
Practice address
6107 Stonebury CT
Sugar Land, TX 77479-5487
Phone
(202) 246-0447
Fax
(301) 421-4011
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN162781 MD
Family Nurse Practitioner 363LF0000X RN1003021 DC
Family Nurse Practitioner 363LF0000X AP126546 TX Primary

Addresses

Primary practice location

6107 Stonebury CT
Sugar Land, TX 77479-5487

Mailing address

6107 Stonebury CT
Sugar Land, TX 77479-5487
Phone (202) 246-0447

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
I20150105001715 TX Practitioner - Nurse Practitioner 4789811696 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN162781MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concho Valley Center for Human Advancement CurrentSince Apr 13, 2020 Accepting new patients
Concho Valley Center for Human Advancement CurrentSince Apr 13, 2020 Accepting new patients
Post Acute Specialists of Texas PA Family CurrentSince Jul 1, 2023 Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

1501 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 658-7750

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

Organizations & group practices 4

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1386070977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 STONEBURY CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795487",
            "telephone_number": "202-246-0447",
            "fax_number": "301-421-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 STONEBURY CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795487",
            "telephone_number": "202-246-0447",
            "fax_number": "301-421-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANNA",
        "first_name": "UCHENNA",
        "middle_name": "OBUMNEKE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "RN162781",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1003021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.