Ijeoma C Nnamani, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P1376 Issued in TX

Practice address

350 Westpark Way Ste 123
Euless, TX 76040-3734

Phone

(817) 267-3065

Fax

(817) 545-9097

NPI assigned

Apr 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ijeoma C Nnoli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ijeoma.nnamani.1@11210.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11210/brand/1/csg/1/fhir/r4

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.

• Ijeoma Nnamani MD PA

  • Pediatrics Physician
  • Euless, TX
  • NPI 1285026963
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1487943239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY STE 123",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403734",
            "telephone_number": "817-267-3065",
            "fax_number": "817-545-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY STE 123",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403734",
            "telephone_number": "817-267-3065",
            "fax_number": "817-545-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAMANI",
        "first_name": "IJEOMA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IJEOMA",
            "last_name": "NNOLI",
            "middle_name": "C",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kiet Nguyen, D.D.S.
• Nam Hoang Nguyen, M.D.
• Ngan Kim Nguyen, D.D.S.
• Thuthuy Thi Nguyen, M.D.
• Rachel C Nielsen, PT, DPT
• Patrick Ryan Nolen, DO
• North Texas Medical Transport Services LLC
• North Texas Podiatry Associates PA
• Northeast Tarrant Internal Medicine Associates
• Amy Jean Nottingham, RN

• Pediatrics Physician in Euless, TX
• Providers in Euless, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.