Individual provider Active NPI

Adaeze Bianca Idakwo

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1770305914
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1180787 Issued in TX
Practice address
6201 Bonhomme Rd Ste 177N
Houston, TX 77036-4496
Phone
(346) 453-4472
Fax
(346) 205-0448
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Nurse Practitioner 363LP1700X 1180787 TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 1180787 TX Primary

Addresses

Primary practice location

6201 Bonhomme Rd Ste 177N
Houston, TX 77036-4496

Mailing address

6201 Bonhomme Rd Ste 177N
Houston, TX 77036-4496
Phone (346) 453-4472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1180787TXMDPerinatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturenest Psychiatry Multi-Specialty Current Accepting new patients

Locations

6201 Bonhomme Rd
Ste 177N
Houston, TX 77036
Phone (346) 717-5036

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1770305914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 177N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364496",
            "telephone_number": "346-453-4472",
            "fax_number": "346-205-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 177N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364496",
            "telephone_number": "346-453-4472",
            "fax_number": "346-205-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDAKWO",
        "first_name": "ADAEZE",
        "middle_name": "BIANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "TX",
            "license": "1180787",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1180787",
            "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 Jul 7, 2026; 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.