Individual provider Active NPI

Chukwudi Christopher Ekwemalor, PHD, MBA, MSN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1619430469
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
141230 Issued in TX
Practice address
16910 Midnight Sky CT
Richmond, TX 77407-4744
Phone
(713) 382-4659
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 141230 TX Primary

Addresses

Primary practice location

16910 Midnight Sky CT
Richmond, TX 77407-4744

Mailing address

16910 Midnight Sky CT
Richmond, TX 77407-4744
Phone (832) 335-1866

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)
Enrolled
Credentials
Master of Business Administration, Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
141230TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1619430469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16910 MIDNIGHT SKY CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074744",
            "telephone_number": "832-335-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16910 MIDNIGHT SKY CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074744",
            "telephone_number": "713-382-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKWEMALOR",
        "first_name": "CHUKWUDI",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PHD, MBA, MSN, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "141230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.