Individual provider Active NPI

Nkechi Ukomadu

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1689032617
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP128933 Issued in TX
Practice address
14918 Lake Woodbridge CT
Sugar Land, TX 77498-0900
Phone
(713) 391-6863
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP128933 TX
Nurse Practitioner 363L00000X 10017013 OR
Family Nurse Practitioner 363LF0000X AP128933 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10017013 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0004086 CO
Primary Care Nurse Practitioner 363LP2300X AP128933 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP128933 TX Primary

Addresses

Primary practice location

14918 Lake Woodbridge CT
Sugar Land, TX 77498-0900

Mailing address

14918 Lake Woodbridge CT
Sugar Land, TX 77498-0900
Phone (713) 391-6863

Other practice location 1

9935 Bissonnet St Unit B
Houston, TX 77036-8413
Phone (281) 710-7044

Other practice location 2

4610 South Ulster Street
Suite 150
Denver, CO 80237
Phone (281) 581-0019

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
I20160526000893 TX Practitioner - Nurse Practitioner 9739099052 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10017013ORMDNurse Practitioner
AP128933TXMDFamily Nurse Practitioner
0004086COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Pharmacy Inc Current Accepting new patients
Houston Family Physicians PA CurrentSince Apr 17, 2016 Accepting new patients
Regency Pharmacy Inc Current Accepting new patients
Eshcol Clinic LLC Psychiatric/Mental Health CurrentSince Aug 5, 2020 Accepting new patients
RGC Home Health Inc. PastSince Jan 2, 2007 Accepting new patients
Nkechi Ukomadu Family Past Accepting new patients

Locations

8313 Southwest Fwy
Ste 105
Houston, TX 77074
Phone (713) 773-1102

8968 Kirby Dr
Houston, TX 77054
Phone (713) 492-0433

9935 Bissonnet St
Unit B
Houston, TX 77036
Phone (713) 391-6863

Interoperability endpoints

  • Direct secure messaging: nkechi.ukomadu.1@30393.direct.athenahealth.com

Organizations & group practices 6

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1689032617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14918 LAKE WOODBRIDGE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774980900",
            "telephone_number": "713-391-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14918 LAKE WOODBRIDGE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774980900",
            "telephone_number": "713-391-6863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9935 Bissonnet St Unit B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770368413",
            "country_code": "US",
            "telephone_number": "281-710-7044",
            "fax_number": "713-422-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4610 South Ulster Street",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80237",
            "country_code": "US",
            "telephone_number": "281-581-0019",
            "fax_number": "713-422-2509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKOMADU",
        "first_name": "NKECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128933",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10017013",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128933",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10017013",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0004086",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP128933",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP128933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.