Individual provider Active NPI

Ezinne Blessing Chukwuocha, NP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1477046654
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137646 Issued in TX
Practice address
5015 Lark Creek CT
Sugar Land, TX 77479-3866
Phone
(832) 891-1998
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP137646 TX
Family Nurse Practitioner 363LF0000X AP137646 TX Primary

Addresses

Primary practice location

5015 Lark Creek CT
Sugar Land, TX 77479-3866

Mailing address

5015 Lark Creek CT
Sugar Land, TX 77479-3866
Phone (832) 891-1998

Other identifiers 1

IdentifierTypeStateIssuer
AP137646OtherTXFAMILY CLINIC, INSURANCE

Other names 1

  • Ezinne Blessing Chukwuocha Former name

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
I20180928001023 TX Practitioner - Nurse Practitioner 3577475359 Reassigns benefits to 2 organizations

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)

5015 Lark Creek CT
Sugar Land, TX 77479-3866
Phone (346) 200-1285

Hospital & facility affiliations

  • Divine Professionals Healthcare Inc Home health agency, Houston, TX, CCN 747606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137646TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TK Emergency Physicians Group PLLC CurrentSince Sep 18, 2021 Accepting new patients
Advance Family Clinic LLC Family CurrentSince Sep 28, 2021 Accepting new patients

Locations

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

Interoperability endpoints

  • Direct secure messaging: ezinne.chukwuocha.p2@direct.alegiscare.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wesley Home Health Services Inc.Stafford, TX, CCN 679528 Home health agency Corporate Officer Dec 31, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1477046654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 LARK CREEK CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793866",
            "telephone_number": "832-891-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 LARK CREEK CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793866",
            "telephone_number": "832-891-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUOCHA",
        "first_name": "EZINNE",
        "middle_name": "BLESSING",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP137646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY CLINIC, INSURANCE",
            "identifier": "AP137646",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EZINNE",
            "last_name": "CHUKWUOCHA",
            "middle_name": "BLESSING",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.