Individual provider Active NPI

Cosmas Asonye Nwogwugwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Prairie View, TX
National Provider Identifier
1407648603
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1067642 Issued in TX
Practice address
21212 FM 1098 Loop Unit 2912
Prairie View, TX 77446-4420
Phone
(972) 371-9446
NPI assigned
May 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1067642 TX Primary

Addresses

Primary practice location

21212 FM 1098 Loop Unit 2912
Prairie View, TX 77446-4420

Mailing address

21212 FM 1098 Loop Unit 2912
Prairie View, TX 77446-4420
Phone (972) 371-9446

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
1067642TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1407648603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 FM 1098 LOOP UNIT 2912",
            "city": "PRAIRIE VIEW",
            "state": "TX",
            "postal_code": "774464420",
            "telephone_number": "972-371-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 FM 1098 LOOP UNIT 2912",
            "city": "PRAIRIE VIEW",
            "state": "TX",
            "postal_code": "774464420",
            "telephone_number": "972-371-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOGWUGWU",
        "first_name": "COSMAS",
        "middle_name": "ASONYE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1067642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie View, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.