Cordelia Ogechi Egwim, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP141771 Issued in TX

Practice address

110 Cypress Station Drive #270
Houston, TX 77090

Phone

(832) 253-1188

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MT2 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

Medicare enrollment (NPD)

Enrolled

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.

• Kinghaven Counseling Group Inc

  • Case Management Agency
  • Houston, TX
  • NPI 1396807350
  Medicare reassignment NPD
• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  TX

  Medicare reassignment
• Epic Health Services, Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1407922701
  NPD (past)
• Epic Health Services, Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1578739769
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1609435502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15023 SIERRA SUNSET DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964265",
            "telephone_number": "713-384-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CYPRESS STATION DRIVE #270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "832-253-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGWIM",
        "first_name": "CORDELIA",
        "middle_name": "OGECHI",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justice Egualekhide
• Valerie Osayemwenre Eguasa, NP
• Edward James Eguia, R.T.
• Stephanie Eguia
• Chukwuma I Egwim, MD. MBBS
• Princess Adaeze Egwim, RN
• Uchechukwu Ijeoma Egwu
• Chisom C Egwuatu, M.D
• Tsegaw Erko Egziti, M.D.
• Sara Meena Ehdaie, DO

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.