Individual provider Active NPI

Daniel Mugiro Nyanchoka, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1386406056
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1099885 Issued in TX
Practice address
11800 Astoria Blvd
Houston, TX 77089-6041
Phone
(570) 886-6870
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1099885 TX Primary

Addresses

Primary practice location

11800 Astoria Blvd
Houston, TX 77089-6041

Mailing address

1606 Mount Conness LN
Rosharon, TX 77583-2989
Phone (157) 088-6687

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
I20241008000303 TX Practitioner - Nurse Practitioner 7911438528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Open Wound Care PLLCGroup PAC ID 8921475294, 14 clinicians

Practice addresses (Care Compare)

Southlake, TX 76092
Phone (817) 328-3000

1606 Mount Conness LN
Rosharon, TX 77583-2989
Phone (281) 698-3916

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Open Wound Care PLLC Family CurrentSince Aug 1, 2024 Accepting new patients
Shephda Signature Mobile Wound Care PLLC Family CurrentSince Dec 1, 2025 Accepting new patients
Global Open Wound Care Services LLC Family CurrentSince Jan 26, 2025 Accepting new patients

Locations

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

250 Miron Dr
Ste 1700
Southlake, TX 76092

521 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 328-3000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1386406056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 MOUNT CONNESS LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775832989",
            "telephone_number": "157-088-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ASTORIA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896041",
            "telephone_number": "570-886-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYANCHOKA",
        "first_name": "DANIEL",
        "middle_name": "MUGIRO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.