Individual provider Active NPI

Chinyere Ezeh, NP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1689288276
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1001583 Issued in TX
Practice address
5294 Belt Line Rd Ste 200
Dallas, TX 75254-7571
Phone
(214) 785-2200
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 1001583 TX Primary

Addresses

Primary practice location

5294 Belt Line Rd Ste 200
Dallas, TX 75254-7571

Mailing address

5294 Belt Line Rd Ste 200
Dallas, TX 75254-7571
Phone (214) 785-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, LA, TX, OK, NM, CT, AL, NC9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20230808001317 FL Practitioner - Nurse Practitioner 7911368675 Reassigns benefits to 1 organization
I20230808001423 MA Practitioner - Nurse Practitioner 7911368675
I20230809000564 LA Practitioner - Nurse Practitioner 7911368675
I20230809000715 TX Practitioner - Nurse Practitioner 7911368675 Reassigns benefits to 1 organization
I20230809001030 OK Practitioner - Nurse Practitioner 7911368675
I20240130000295 NM Practitioner - Nurse Practitioner 7911368675
I20240401002653 CT Practitioner - Nurse Practitioner 7911368675
I20240712000437 AL Practitioner - Nurse Practitioner 7911368675 Reassigns benefits to 1 organization
I20240725000165 NC Practitioner - Nurse Practitioner 7911368675

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topaz Bay Senior Health PCGroup PAC ID 2860906385, 30 clinicians
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians

Practice addresses (Care Compare)

2100 Southbridge Pkwy
Suite 650
Birmingham, AL 35209-1317
Phone (203) 666-8145

325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (203) 666-8145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1001583TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chess Medicine PLLC CurrentSince Aug 20, 2023 Accepting new patients
Catapult Health PA CurrentSince Dec 13, 2022 Accepting new patients
Callon Doc Past Accepting new patients
Catapult Health, LLC PastSince Dec 13, 2022 Accepting new patients

Locations

1028 Bessemer Rd
Birmingham, AL 35228
Phone (205) 923-1477

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

99 Hawley Ln
Ste 1102
Stratford, CT 06614

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

209 County Rd
#408
North Falmouth, MA 02556

1127 Timber Run Dr
Saint Louis, MO 63146
Phone (314) 317-2003

1 Cityplace Dr
Ste 570
Saint Louis, MO 63141
Phone (314) 514-6060

555 S Mangum St
Ste 100
Durham, NC 27701
Phone (323) 545-3659

800 Saguaro Trl
Farmington, NM 87401
Phone (505) 598-6000

530 S Linwood Ave
Cushing, OK 74023
Phone (918) 225-2220

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

5294 Belt Line Rd
Ste 200
Dallas, TX 75254
Phone (214) 785-2200

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1689288276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5294 BELT LINE RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547571",
            "telephone_number": "214-785-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5294 BELT LINE RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547571",
            "telephone_number": "214-785-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEH",
        "first_name": "CHINYERE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1001583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.