Active NPI
Joy Adaku Ekwueme, FNP
- Family Nurse Practitioner
- Shenandoah, TX
National Provider Identifier
1609373992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 729822
- Practice address
- Main Street Medical Clinic
1120 Medical Plaza Dr, Suite 335
Shenandoah, TX 77380 - Phone
- (281) 528-4102
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 729822 | TX | Primary |
Addresses
Primary practice location
Main Street Medical Clinic
1120 Medical Plaza Dr, Suite 335
Shenandoah, TX 77380
Mailing address
Alief Geriatrics Associates, PA
1801 N. Loop West, Suite 40
Houston, TX 77008
Phone (713) 416-2229
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
| License | State | Type | Specialty |
|---|---|---|---|
| 729822 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1609373992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALIEF GERIATRICS ASSOCIATES, PA",
"address_2": "1801 N. LOOP WEST, SUITE 40",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77008",
"telephone_number": "713-416-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAIN STREET MEDICAL CLINIC",
"address_2": "1120 MEDICAL PLAZA DR, SUITE 335",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77380",
"telephone_number": "281-528-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKWUEME",
"first_name": "JOY",
"middle_name": "ADAKU",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-12",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "729822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.