Individual provider Active NPI

Godwin U Nkwocha

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1740831791
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP143069 Issued in TX
Practice address
7027 Plaza del Sol Dr
Houston, TX 77083-3210
Phone
(713) 249-3515
NPI assigned
Sep 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP143069 TX Primary

Addresses

Primary practice location

7027 Plaza del Sol Dr
Houston, TX 77083-3210

Mailing address

7027 Plaza del Sol Dr
Houston, TX 77083-3210
Phone (713) 249-3515

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
I20230920001335 TX Practitioner - Nurse Practitioner 5698129989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143069TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Healthcare Inc. CurrentSince Sep 25, 2019 Accepting new patients

Organizations & group practices 1

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1740831791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 PLAZA DEL SOL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833210",
            "telephone_number": "713-249-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 PLAZA DEL SOL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833210",
            "telephone_number": "713-249-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWOCHA",
        "first_name": "GODWIN",
        "middle_name": "U",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.