Individual provider Active NPI

Sylvia Udokoro Nwakanma

  • Family Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1467946178
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145089 Issued in TX
Practice address
1601 Liberty St Ste B
Richmond, TX 77469-3252
Phone
(832) 449-3500
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013057 CA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN2351612 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP145089 TX
Primary Care Nurse Practitioner 363LP2300X 95013057 CA
Primary Care Nurse Practitioner 363LP2300X RN204569 GA
Family Nurse Practitioner 363LF0000X 61070744 WA
Family Nurse Practitioner 363LF0000X RN204569 GA
Primary Care Nurse Practitioner 363LP2300X TPAN48 FL
Primary Care Nurse Practitioner 363LP2300X 243831 AZ
Primary Care Nurse Practitioner 363LP2300X AP145089 TX
Primary Care Nurse Practitioner 363LP2300X 61070744 WA
Family Nurse Practitioner 363LF0000X AP145089 TX Primary

Addresses

Primary practice location

1601 Liberty St Ste B
Richmond, TX 77469-3252

Mailing address

5422 Streamside TRL
Fulshear, TX 77441-2222
Phone (678) 446-4298

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
I20210527002244 TX Practitioner - Nurse Practitioner 1355778838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1601 Liberty St
Suite B
Richmond, TX 77469-3252
Phone (832) 449-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013057CAMDFamily Nurse Practitioner
RN204569GAMDFamily Nurse Practitioner
RN2351612MAMDFamily Nurse Practitioner
243831AZMDPrimary Care Nurse Practitioner
AP145089TXMDPrimary Care Nurse Practitioner
61070744WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Mercie Health LLC Multi-Specialty CurrentSince Mar 19, 2021 Accepting new patients

Locations

2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

1601 Liberty St
Ste B
Richmond, TX 77469
Phone (281) 238-6222

Interoperability endpoints

  • Direct secure messaging: sylvia.nwakanma.1@23675.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23675/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1467946178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 STREAMSIDE TRL",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412222",
            "telephone_number": "678-446-4298",
            "fax_number": "587-200-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LIBERTY ST STE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693252",
            "telephone_number": "832-449-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAKANMA",
        "first_name": "SYLVIA",
        "middle_name": "UDOKORO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2351612",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP145089",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95013057",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN204569",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61070744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204569",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "TPAN48",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "243831",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP145089",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "61070744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.