Active NPI
Chichy Nwachukwu, NP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 143189
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 143189 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Healthcare Foundation Texas Inc | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation Texas Inc | Past | Accepting new patients | |
| Absolute Body | Past | Accepting new patients | |
| R & R Diagnositic | Past | 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
- 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.
-
- Infectious Disease Physician
- Houston, TX
- NPI 1992321558
-
- Clinic/Center
- Houston, TX
- NPI 1033593181
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Houston, TX
- NPI 1881812055
-
- Clinic/Center
- Fort Worth, TX
- NPI 1104190115
-
- Mobile Radiology Clinic/Center
- Houston, TX
- NPI 1972931947
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.