Active NPI
Sylvia Udokoro Nwakanma
- Family Nurse Practitioner
- Richmond, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP145089
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95013057 | CA | |
| Family Nurse Practitioner | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95013057 | CA | MD | Family Nurse Practitioner |
| RN204569 | GA | MD | Family Nurse Practitioner |
| RN2351612 | MA | MD | Family Nurse Practitioner |
| 243831 | AZ | MD | Primary Care Nurse Practitioner |
| AP145089 | TX | MD | Primary Care Nurse Practitioner |
| 61070744 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Multi-Specialty | Current | Accepting new patients |
| Mercie Health LLC | Multi-Specialty | Current | 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
- sylvia.nwakanma.1@23675.direct.athenahealth.com
- 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.
-
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
Multi-Specialty, TX
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.