Individual provider Active NPI

Chioma Cynthia Anyanwu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1508745035
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1180034 Issued in TX
Practice address
3560 Delaware St Ste 502
Beaumont, TX 77706-3061
Phone
(409) 899-4472
Fax
(409) 899-9795
NPI assigned
Aug 28, 2025
Last updated
Nov 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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 Nurse Practitioner 363LP0808X 1180034 TX Primary

Addresses

Primary practice location

3560 Delaware St Ste 502
Beaumont, TX 77706-3061

Mailing address

3560 Delaware St Ste 502
Beaumont, TX 77706-3061
Phone (409) 899-4472

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
I20251107001839 TX Practitioner - Nurse Practitioner 7315437381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnie Community Hospital LLCGroup PAC ID 3375440894, 23 clinicians

Practice addresses (Care Compare)

2400 Hwy 365
Suite 109
Nederland, TX 77627-6268
Phone 4092321500217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1180034TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winnie Community Hospital LLC CurrentSince Jul 21, 2025 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Jul 21, 2025 Accepting new patients
Winnie Community Hospital, L.L.C. PastSince Jul 21, 2025 Accepting new patients

Locations

3560 Delaware St
Ste 502
Beaumont, TX 77706
Phone (409) 899-4472

2400 Highway 365
Ste 109
Nederland, TX 77627
Phone (409) 237-2800

2400 Highway 365
Ste 112
Nederland, TX 77627
Phone (409) 284-9717

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1508745035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 502",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063061",
            "telephone_number": "409-899-4472",
            "fax_number": "409-899-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 502",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063061",
            "telephone_number": "409-899-4472",
            "fax_number": "409-899-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "CHIOMA",
        "middle_name": "CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1180034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.