Individual provider Active NPI

Bernadette Ebelechukwu Ekwutife

  • Pediatric Registered Nurse
  • Sugar Land, TX
National Provider Identifier
1659938413
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
956568 Issued in TX
Practice address
9715 El Pico Drive
Sugar Land, TX 77083
Phone
(281) 733-9708
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 956568 TX Primary

Addresses

Primary practice location

9715 El Pico Drive
Sugar Land, TX 77083

Mailing address

9715 El Pico Drive
Sugar Land, TX 77083

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
956568TXMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1659938413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 EL PICO DRIVE",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 EL PICO DRIVE",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77083",
            "telephone_number": "281-733-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKWUTIFE",
        "first_name": "BERNADETTE",
        "middle_name": "EBELECHUKWU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "956568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.