Bernadette Etoama, PMHNP-BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

1034068 Issued in TX

Practice address

5500 Guhn Rd Ste 100
Houston, TX 77040-6162

Phone

(713) 783-8889

Fax

(713) 953-0471

NPI assigned

Apr 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1730201187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 GUHN RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406162",
            "telephone_number": "713-783-8889",
            "fax_number": "713-953-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GUHN RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406162",
            "telephone_number": "713-783-8889",
            "fax_number": "713-953-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9894 Bissonnet St",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770368239",
            "country_code": "US",
            "telephone_number": "281-723-3041",
            "fax_number": "713-272-6845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETOAMA",
        "first_name": "BERNADETTE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "1034068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008598",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha J Ethridge
• Ernst Etienne, P.A.
• Ntahoturi Etienne
• Obehi Maranatha Etinfoh, APRN, PMHNP-BC
• Catherine Clare Etka, OTR/L
• Herman Etoh
• Etoile Academy Inc.
• Chukwudi Chibuzo Etonyeaku, NP-FNP
• Etr Consultants, Inc
• Etre Belle Medspa LLC

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.