Active NPI
Ezinne Blessing Chukwuocha, NP
- Family Nurse Practitioner
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137646
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP137646 | Other | TX | FAMILY CLINIC, INSURANCE |
Other names 1
- Ezinne Blessing Chukwuocha
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, 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137646 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TK Emergency Physicians Group PLLC | Current | Accepting new patients | |
| Advance Family Clinic LLC | Family | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wesley Home Health Services Inc. | 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.
-
- Family Nurse Practitioner
- Sugar Land, TX
- NPI 1235801366
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1942728019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.