Individual provider Active NPI

Ihuoma Akuesu Aguoru, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1730953167
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1139055 Issued in TX
Practice address
12318 Thompkins Dr
Austin, TX 78753-7016
Phone
(512) 299-1679
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1139055 TX Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1139055 TX

Addresses

Primary practice location

12318 Thompkins Dr
Austin, TX 78753-7016

Mailing address

12318 Thompkins Dr
Austin, TX 78753-7016
Phone (512) 299-1679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med Management Associates CurrentSince Jul 22, 2024 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Apr 2, 2024 Accepting new patients
Kaleb Healthcare Services,Inc. PastSince Nov 12, 2023 Accepting new patients

Locations

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 3

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1730953167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12318 THOMPKINS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787537016",
            "telephone_number": "512-299-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12318 THOMPKINS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787537016",
            "telephone_number": "512-299-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUORU",
        "first_name": "IHUOMA",
        "middle_name": "AKUESU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1139055",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1139055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.