Chukwudi Chibuzo Etonyeaku, NP-FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP139427 Issued in TX

Practice address

6565 Fannin St
Houston, TX 77030-2703

Phone

(713) 441-2076

NPI assigned

Oct 24, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1477020808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12834 FRANCES ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774504",
            "telephone_number": "281-690-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-441-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETONYEAKU",
        "first_name": "CHUKWUDI",
        "middle_name": "CHIBUZO",
        "credential": "NP-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP139427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obehi Maranatha Etinfoh, APRN, PMHNP-BC
• Catherine Clare Etka, OTR/L
• Bernadette Etoama, PMHNP-BC
• Herman Etoh
• Etoile Academy Inc.
• Etr Consultants, Inc
• Etre Belle Medspa LLC
• Etta and Carrie, LLC
• Etta Counseling & Wellness, PLLC
• Mary Etta

• Primary Care Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.