Individual provider Active NPI

Chidinma Enwere

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1659794535
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
897968 Issued in TX
Practice address
2675 S Abilene St Ste 100
Aurora, CO 80014-2363
Phone
(720) 507-4779
Fax
(833) 941-5047
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 897968 TX
Family Nurse Practitioner 363LF0000X RN.349001-COA1 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 897968 TX Primary

Addresses

Primary practice location

2675 S Abilene St Ste 100
Aurora, CO 80014-2363

Mailing address

2330 Majestic Fairway LN
League City, TX 77573-5578

Other practice location 1

14221 E 4th Ave Unit 2-126
Aurora, CO 80011-8735
Phone (720) 507-4779

Other practice location 2

3939 Bellaire Blvd
Houston, TX 77025-1119
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 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

Enrollment IDStateProvider typePAC IDDetails
I20160812000235 TX Practitioner - Nurse Practitioner 8921238320
I20210323000649 CO Practitioner - Nurse Practitioner 8921238320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians

Practice addresses (Care Compare)

14221 E 4TH Ave
Suite 2 126
Aurora, CO 80011-8735
Phone (720) 507-4779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.349001-COA1OHMDFamily Nurse Practitioner
897968TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Psychiatry LLC Psychiatric/Mental Health CurrentSince Mar 18, 2021 Accepting new patients
Harmony Health LLC Current Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Locations

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

15355 E Colfax Ave
Unit 111717
Aurora, CO 80042

2675 S Abilene St
Ste 100
Aurora, CO 80014

Interoperability endpoints

  • Direct secure messaging: chidinma.enwere.1@27879.direct.athenahealth.com

Organizations & group practices 3

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": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1659794535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MAJESTIC FAIRWAY LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S ABILENE ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142363",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14221 E 4th Ave Unit 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3939 Bellaire Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251119",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENWERE",
        "first_name": "CHIDINMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "897968",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.349001-COA1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "897968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.