Individual provider Active NPI

Adaku Chinyere Iwu, FNP-BC

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1629472873
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126676 Issued in TX
Practice address
5909 West Loop S Fwy SVC Rd
Suite 670
Bellaire, TX 77401-3104
Phone
(346) 335-7354
Fax
(866) 281-8995
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 AP126676 TX Primary

Addresses

Primary practice location

5909 West Loop S Fwy SVC Rd
Suite 670
Bellaire, TX 77401-3104

Mailing address

5909 West Loop S Fwy SVC Rd,
Suite 670
Bellaire, TX 77401-3104
Phone (346) 335-7354

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
I20220601002669 TX Practitioner - Nurse Practitioner 6002130366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5909 W Loop S
Suite 670
Bellaire, TX 77401-2416
Phone (832) 600-4515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glow Maven LLC CurrentSince May 1, 2022 Accepting new patients

Locations

5909 West Loop S
Ste 670
Bellaire, TX 77401
Phone (346) 335-7354

5909 West Loop S
Ste 580
Bellaire, TX 77401
Phone (832) 600-4515

4544 Post Oak Place Dr
Ste 25
Houston, TX 77027
Phone (832) 600-4515

4544 Post Oak Place Dr
Ste 254
Houston, TX 77027

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1629472873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 WEST LOOP S FWY SVC RD,",
            "address_2": "SUITE 670",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013104",
            "telephone_number": "346-335-7354",
            "fax_number": "866-281-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 WEST LOOP S FWY SVC RD",
            "address_2": "SUITE 670",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013104",
            "telephone_number": "346-335-7354",
            "fax_number": "866-281-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWU",
        "first_name": "ADAKU",
        "middle_name": "CHINYERE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.