Individual provider Active NPI

Ezenwanyi Onwuchekwa

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1588218754
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019045375 Issued in TX
Practice address
5301 University Ave
Lubbock, TX 79413-4940
Phone
(806) 795-8792
NPI assigned
Jul 26, 2019
Last updated
Oct 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019045375 TX Primary

Addresses

Primary practice location

5301 University Ave
Lubbock, TX 79413-4940

Mailing address

5301 University Ave
Lubbock, TX 79413-4940
Phone (806) 795-8792

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lubbock Health Information Exchange (HIE)

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
I20191112000071 TX Practitioner - Nurse Practitioner 9032541156 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut East Texas Urgent Care Centers, PLLCGroup PAC ID 7517385388, 33 clinicians

Practice addresses (Care Compare)

301 E State Hwy 243
Suite 121
Canton, TX 75103-2418
Phone (903) 567-4692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019045375TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. CurrentSince May 1, 2025 Accepting new patients
Ut East Texas Urgent Care Centers, PLLC CurrentSince Nov 16, 2024 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Jun 1, 2022 Accepting new patients
Mdmac Logistics PLLC Family CurrentSince Jun 1, 2024 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

301 E State Highway 243
Ste 121
Canton, TX 75103
Phone (903) 567-4692

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

1600 US Highway 79 S
Ste 1600
Henderson, TX 75654

1602 S Jackson St
Jacksonville, TX 75766
Phone (409) 782-5813

1016 N Kilgore St
Kilgore, TX 75662
Phone (903) 522-4199

1703 S 3rd St
Mabank, TX 75147
Phone (903) 225-7189

133 N Henderson St
Rusk, TX 75785
Phone (903) 683-0559

Interoperability endpoints

  • Direct secure messaging: eonwuchekwa914354@ahs.direct-ci.com

Organizations & group practices 5

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1588218754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134940",
            "telephone_number": "806-795-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134940",
            "telephone_number": "806-795-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUCHEKWA",
        "first_name": "EZENWANYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2019045375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lubbock",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5301 University Ave",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794134940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.