Rudolf Ezemba

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1000029 Issued in TX

Practice address

8968 Kirby Dr
Houston, TX 77054-2830

Phone

(281) 704-3836

NPI assigned

Feb 4, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1518559277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14274 PAULSON CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831662",
            "telephone_number": "832-352-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8968 KIRBY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542830",
            "telephone_number": "281-704-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEMBA",
        "first_name": "RUDOLF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1000029",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1000029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Ezell
• Rachel Ezell, SLP
• Robert Floyd Ezell, MD
• William B Ezell, CRNA
• Gladys Chidiebere Ezem, APRN, RN
• Victor C Ezemba
• Rita Chellilina Ezenibe, PHARMD,RPH
• Chinwe Ezenna, DO
• Linda C Ezennia
• Nkoli Ezenwa

• Adult Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.