Individual provider Active NPI

Constance C Igwala

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1770957540
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128874 Issued in TX
Practice address
7200 Cambridge St
Suite 9a Ms, Bcm650
Houston, TX 77030-4202
Phone
(713) 798-4696
NPI assigned
Nov 17, 2015
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128874 TX Primary

Addresses

Primary practice location

7200 Cambridge St
Suite 9a Ms, Bcm650
Houston, TX 77030-4202

Mailing address

7200 Cambridge St
Suite 9a
Houston, TX 77030-4202

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cigwala16073@bcm.ghhdirect.net

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
I20151217000414 TX Practitioner - Nurse Practitioner 6709914062 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128874TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC CurrentSince Dec 8, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2015 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7200 Cambridge St
Houston, TX 77030
Phone (713) 798-2273

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 9
Houston, TX 77030
Phone (713) 798-2273

7200 Cambridge St
Ste 9A
Houston, TX 77030
Phone (713) 798-2273

Interoperability endpoints

  • Direct secure messaging: cigwala16073@bcm.ghhdirect.net
  • Direct secure messaging: cigwala19685@direct.kelsey-seybold.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1770957540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST",
            "address_2": "SUITE 9A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST",
            "address_2": "SUITE 9A MS, BCM650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "713-798-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWALA",
        "first_name": "CONSTANCE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cigwala16073@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "7200 Cambridge St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.