Chibuike Samuel Okonkwo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

918557 Issued in TX

Practice address

1710 Knollwood Rd
Wylie, TX 75098-0347

Phone

(678) 200-8693

NPI assigned

May 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a N/a Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Melight Home Health Services Inc

  • Home Health Agency
  • Wylie, TX
  • NPI 1215663448

  Registered Nurse

  NPD Authorized official

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1609514645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 KNOLLWOOD RD",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980347",
            "telephone_number": "678-200-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 KNOLLWOOD RD",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980347",
            "telephone_number": "678-200-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "CHIBUIKE",
        "middle_name": "SAMUEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "918557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Occupational Health Centers of the Southwest P.a.
• Abigail Christine Offill, SLP-CCC
• Erika Charles Oguanobi, D.D.S.
• Pauline Izuchukwu Oji, NP
• Justina Ada Okeke, FNP
• Geraldine Nneka Okpara
• Brenda Oksanen
• Kate Amaka Okwesa
• Adekunle O Olatunji, PHARM D
• Lisa Olford, AGACNP

• Registered Nurse in Wylie, TX
• Providers in Wylie, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.