Chizoba Egunetugo

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

959252 Issued in TX

Practice address

3209 Grand Bay Dr
Garland, TX 75040-5543

Phone

(469) 682-2066

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1417682287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 GRAND BAY DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 GRAND BAY DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405543",
            "telephone_number": "469-682-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUNETUGO",
        "first_name": "CHIZOBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "959252",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "959252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Edmunds, M.D.
• Edropa Family Medicine Clinic
• Steven Devon Edwards, PA-C
• Effordable Services
• Melissa Egerton, SLP
• Ujunma Ifeyinwa Egwim, PHARMD
• Peace U Ehigitor
• Jessica Ehrenreich, BCBA
• Taylor Rae Ehrlich
• Sara Ehsani, DDS

• Psychiatric/Mental Health Registered Nurse in Garland, TX
• Providers in Garland, TX by specialty
• Psychiatric/Mental Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.