Individual provider Active NPI

Chichy Nwachukwu, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1720628290
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
143189 Issued in TX
Practice address
2550 Gray Falls Dr Ste 120
Houston, TX 77077-6600
Phone
(281) 496-3355
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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 143189 TX Primary

Addresses

Primary practice location

2550 Gray Falls Dr Ste 120
Houston, TX 77077-6600

Mailing address

20706 Bandrock Ter
Richmond, TX 77407-1473
Phone (832) 322-0907

Other practice location 1

2014 Wentworth St
Houston, TX 77004-6084
Phone (281) 915-1630

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
I20210201001190 TX Practitioner - Nurse Practitioner 2264846328 Reassigns benefits to 1 organization

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
AIDS Healthcare Foundation Texas, Inc.Group PAC ID 5991940520, 19 clinicians

Practice addresses (Care Compare)

1200 Binz St
Suite 1040
Houston, TX 77004-6926
Phone (713) 524-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143189TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation Texas Inc CurrentSince Dec 4, 2020 Accepting new patients
AIDS Healthcare Foundation CurrentSince Dec 4, 2020 Accepting new patients
AIDS Healthcare Foundation Texas Inc Past Accepting new patients
Absolute Body PastSince Jan 19, 2020 Accepting new patients
R & R Diagnositic PastSince Jan 19, 2020 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

1200 Binz St
Ste 1290
Houston, TX 77004
Phone (713) 524-8700

7400 Fannin St
Ste 1118
Houston, TX 77054
Phone (713) 797-9200

1200 Binz St
Ste 1040
Houston, TX 77004
Phone (713) 520-2328

1331 W Grand Pkwy N
Ste 310
Katy, TX 77493
Phone (281) 599-3222

Interoperability endpoints

  • Direct secure messaging: chichy.nwachukwu.1@26356.direct.athenahealth.com

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1720628290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20706 BANDROCK TER",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071473",
            "telephone_number": "832-322-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 GRAY FALLS DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776600",
            "telephone_number": "281-496-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Wentworth St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770046084",
            "country_code": "US",
            "telephone_number": "281-915-1630",
            "fax_number": "281-816-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWACHUKWU",
        "first_name": "CHICHY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "143189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.