Nwamaka Larvine Emeruem

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP136592 Issued in TX

Practice address

2512 E Evergreen Blvd
Vancouver, WA 98661-4323

Phone

(972) 503-4109

Fax

(972) 449-0500

NPI assigned

Feb 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardinal Support LLCGroup PAC ID 0840626800, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cardinal Support LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1699312314

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• Cardinal Support Wa LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
  • NPI 1114860103
  NPD Authorized official
• Pec Medical Consulting, PLLC

  • Adult Medicine Physician
  • Duncanville, TX
  • NPI 1508574369
  NPD
• Revital Health and Wellness PLLC

  • Primary Care Clinic/Center
  • Frisco, TX
  • NPI 1790548105
  NPD
• M7 Associates, LLC

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1245812361
  NPD (past)

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1508366642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W WHEATLAND RD STE 140",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164628",
            "telephone_number": "972-503-4109",
            "fax_number": "972-449-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614323",
            "telephone_number": "972-503-4109",
            "fax_number": "972-449-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2459 E Hebron Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104477",
            "country_code": "US",
            "telephone_number": "972-239-8131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 W Wheatland Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164628",
            "country_code": "US",
            "telephone_number": "972-503-4109",
            "fax_number": "972-449-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERUEM",
        "first_name": "NWAMAKA",
        "middle_name": "LARVINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP136592",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emergency Rooms, PS
• Emergency Tooth Doctor Camas, P.C.
• Emeritus Corporation
• Emeritus Corporation
• Jill Marie Emerson, CNA II
• Empower Counseling, PLLC
• Empower U Health and Wellness LLC
• Empowerme Rehabilitation, LLC
• Susan Benson Emrick, LCSW
• Richard Allen Enders Jr., PAC

• Psychiatric/Mental Health Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.