Organization Active NPI

Allied Family Clinic LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1730708280
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALLIED FAMILY CLINIC LLC
Practice address
10101 Harwin Dr Ste 322
Houston, TX 77036-1686
Phone
(832) 616-6718
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Mrs. Ezinne Blessing Chukwuocha, FNP-C
Title
FNP
Phone
(832) 616-6718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10101 Harwin Dr Ste 322
Houston, TX 77036-1686

Mailing address

10101 Harwin Dr Ste 322
Houston, TX 77036-1686
Phone (832) 616-6718

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EMR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1730708280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 HARWIN DR STE 322",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361686",
            "telephone_number": "832-616-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 HARWIN DR STE 322",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361686",
            "telephone_number": "832-616-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "CHUKWUOCHA",
        "authorized_official_first_name": "EZINNE",
        "authorized_official_middle_name": "BLESSING",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "832-616-6718",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "10101 Harwin Dr Ste 322",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770361686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 8, 2020; 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.