Cardinal Support LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CARDINAL SUPPORT LLC

Doing business as

Ease Psychiatry

Practice address

2512 E Evergreen Blvd
Vancouver, WA 98661-4323

Phone

(972) 503-4109

Fax

(972) 449-0500

NPI assigned

Dec 1, 2019

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nwamaka Larvine Emeruem, DNPNPI 1508366642

Title

Director

Phone

(972) 503-4109

Specialties & licenses 3

Addresses

Other names 1

• EASE PSYCHIATRY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, WA, IA3 enrollments

Enrollment records 3

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nwamaka Larvine Emeruem

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1508366642

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• Ebere Ejike-Ilechukwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
  • NPI 1295333268
  Medicare reassignment Care Compare group NPD
• Adannaya C Inyama, MPAS PA-C

  • Physician Assistant
  • Duncanville, TX
  • NPI 1174380687
  Medicare reassignment Care Compare group
• Rachael Daniel

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1386260537

  IA

  Medicare reassignment NPD
• Ola Chinma Anyanwu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1083360945

  Single Specialty

  NPD
• Kelechi Nwaorgu, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympia, WA
  • NPI 1598273237
  NPD
• Ifeoma Tamara Ogbonna, M.D.

  • Family Medicine Physician
  • Duncanville, TX
  • NPI 1235517087
  NPD

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1699312314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 S LAKEVIEW DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751048233",
            "telephone_number": "972-503-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614323",
            "telephone_number": "972-503-4109",
            "fax_number": "972-449-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2804 S Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751048233",
            "country_code": "US",
            "telephone_number": "972-503-4109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDINAL SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-01",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "EMERUEM",
        "authorized_official_first_name": "NWAMAKA",
        "authorized_official_middle_name": "LARVINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-503-4109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASE PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Cardenas
• Leanne Nichol Cardenas
• Sebastian Cardenas
• Sofia Cardenas
• Patricia A Carder, LMHCA, LSWAIC
• Laurie A Cardoza
• Natalie Marie Cardoza, PHARM.D.
• Care Center Hazel Dell Inc (Discovery Nursing & Rehab of Vancouver)
• Care Medical Equipment, Inc.
• Care N Love Afh II- 03

• Psychiatric/Mental Health Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.