Individual provider Active NPI

Christian Chidozie Okoloedo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1669953816
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
311843 Issued in AZ
Practice address
824 N 99TH Ave Ste 109
Avondale, AZ 85323-5327
Phone
(623) 907-1457
NPI assigned
Aug 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 004205 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11029259 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704448490 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61568960 WA
Primary Care Nurse Practitioner 363LP2300X 848154 TX
Adult Health Nurse Practitioner 363LA2200X 311843 AZ
Gerontology Nurse Practitioner 363LG0600X 311843 AZ
Gerontology Nurse Practitioner 363LG0600X 848154 TX
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 848154 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024197740 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 311843 AZ Primary

Addresses

Primary practice location

824 N 99TH Ave Ste 109
Avondale, AZ 85323-5327

Mailing address

4419 Hidden Oaks Way
Houston, TX 77084-7397
Phone (832) 343-5016

Other practice location 1

13201 Granger Rd Ste 2
Garfield Heights, OH 44125-1979
Phone (877) 316-8773

Other practice location 2

23077 Greenfield Rd Ste 234
Southfield, MI 48075-3722
Phone (877) 316-8733

Other practice location 3

1516 E Colonial Dr Ste 203
Orlando, FL 32803-4726
Phone (877) 316-8773

Other practice location 4

16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003
Phone (713) 732-4794

Other practice location 5

1606 Santa Rosa Rd Rm 109
Richmond, VA 23229-5001
Phone (877) 316-8773

Other practice location 6

4419 Hidden Oaks Way
Houston, TX 77084-7397
Phone (832) 343-5016

Other practice location 7

1142 Broadway Ste 200
Tacoma, WA 98402-3500
Phone (877) 316-8773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190117002875 TX Practitioner - Nurse Practitioner 6901142520 Reassigns benefits to 1 organization
I20240411004864 FL Practitioner - Nurse Practitioner 6901142520 Reassigns benefits to 1 organization
I20260501001268 WA Practitioner - Nurse Practitioner 6901142520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1032 E Brandon Blvd
Suite 4567
Brandon, FL 33511-5509

6714 Lindale Springs LN
Katy, TX 77449-3154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
848154TXMDAdult Health Nurse Practitioner
311843AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston in Patient Physician Associates PLLC Single Specialty CurrentSince Jun 25, 2019 Accepting new patients
West Yavapai Guidance Clinic Inc Past Accepting new patients
West Yavapai Guidance Clinic, Inc Single Specialty Past Accepting new patients

Locations

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

16605 Southwest Fwy
Ste 175
Sugar Land, TX 77479
Phone (281) 565-1112

Interoperability endpoints

  • Direct secure messaging: cokoloedo@landmarkhealth-direct.org

Organizations & group practices 5

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": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1669953816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 HIDDEN OAKS WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847397",
            "telephone_number": "832-343-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 99TH AVE STE 109",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235327",
            "telephone_number": "623-907-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13201 Granger Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441251979",
            "country_code": "US",
            "telephone_number": "877-316-8773",
            "fax_number": "866-401-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23077 Greenfield Rd Ste 234",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753722",
            "country_code": "US",
            "telephone_number": "877-316-8733",
            "fax_number": "313-488-1624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 E Colonial Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034726",
            "country_code": "US",
            "telephone_number": "877-316-8773",
            "fax_number": "407-557-4832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16605 Southwest Fwy Ste 175",
            "address_purpose": "LOCATION",
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            "state": "TX",
            "postal_code": "774790003",
            "country_code": "US",
            "telephone_number": "713-732-4794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1606 Santa Rosa Rd Rm 109",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232295001",
            "country_code": "US",
            "telephone_number": "877-316-8773",
            "fax_number": "804-315-8560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4419 Hidden Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770847397",
            "country_code": "US",
            "telephone_number": "832-343-5016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1142 Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023500",
            "country_code": "US",
            "telephone_number": "877-316-8773",
            "fax_number": "253-452-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOLOEDO",
        "first_name": "CHRISTIAN",
        "middle_name": "CHIDOZIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-26",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "004205",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11029259",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704448490",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61568960",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "848154",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "311843",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "311843",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "848154",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "848154",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024197740",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "311843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.