Individual provider Active NPI

Chiamaka Immaculeta Nwadike

  • Psychiatric/Mental Health Registered Nurse
  • Houston, TX
National Provider Identifier
1497524458
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
952145 Issued in TX
Practice address
6901 Bertner Ave
Houston, TX 77030-3901
Phone
(713) 500-2100
NPI assigned
Jan 1, 2024
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 952145 TX Primary

Addresses

Primary practice location

6901 Bertner Ave
Houston, TX 77030-3901

Mailing address

2510 Forest Side CT
Missouri City, TX 77459-2474
Phone (832) 396-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
952145TXMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1497524458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 FOREST SIDE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592474",
            "telephone_number": "832-396-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303901",
            "telephone_number": "713-500-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWADIKE",
        "first_name": "CHIAMAKA",
        "middle_name": "IMMACULETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "952145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.