Individual provider Active NPI

Ijeoma Ononenyi

  • Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1467818070
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140055 Issued in TX
Practice address
7616 Branford PL Ste 220
Sugar Land, TX 77479-3794
Phone
(281) 944-5692
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140055 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP140055 TX
Family Nurse Practitioner 363LF0000X AP140055 TX
Family Nurse Practitioner 363LF0000X 250384 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 250384 AZ
Nurse Practitioner 363L00000X 250384 AZ

Addresses

Primary practice location

7616 Branford PL Ste 220
Sugar Land, TX 77479-3794

Mailing address

7616 Branford PL Ste 220
Sugar Land, TX 77479-3794
Phone (281) 944-5692

Other practice location 1

20715 N Pima Rd Ste 108
Scottsdale, AZ 85255-6685
Phone (281) 944-5692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190327001592 TX Practitioner - Nurse Practitioner 1355681495 Reassigns benefits to 1 organization
I20220217000407 AZ Practitioner - Nurse Practitioner 1355681495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1921 S Alma School Rd
Suite 312
Mesa, AZ 85210-3039
Phone (281) 944-5692

7616 Branford PL
Suite 220
Sugar Land, TX 77479-3794
Phone (281) 944-5692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250384AZMDNurse Practitioner
AP140055TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Bold Health Clinic LLC CurrentSince Jul 20, 2018 Accepting new patients

Locations

1921 S Alma School Rd
Ste 312
Mesa, AZ 85210
Phone (281) 944-5692

20715 N Pima Rd
Ste 108
Scottsdale, AZ 85255
Phone (281) 944-5692

7616 Branford Pl
Ste 220
Sugar Land, TX 77479
Phone (281) 716-3189

Organizations & group practices 1

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1467818070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 BRANFORD PL STE 220",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793794",
            "telephone_number": "281-944-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 BRANFORD PL STE 220",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793794",
            "telephone_number": "281-944-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20715 N Pima Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852556685",
            "country_code": "US",
            "telephone_number": "281-944-5692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONONENYI",
        "first_name": "IJEOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140055",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP140055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "250384",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "250384",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "250384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.