Individual provider Active NPI

Njideka Ikeakor

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1790111557
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123843 Issued in TX
Practice address
8531 Jackson Creek Bend LN
Humble, TX 77396-3780
Phone
(713) 303-0286
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 68821 NM
Family Nurse Practitioner 363LF0000X 123843 TX Primary
Family Nurse Practitioner 363LF0000X 93280 CT
Nurse Practitioner 363L00000X 353528 NY
Family Nurse Practitioner 363LF0000X 0101373 CO

Addresses

Primary practice location

8531 Jackson Creek Bend LN
Humble, TX 77396-3780

Mailing address

8531 Jackson Creek Bend LN
Humble, TX 77396-3780

Other practice location 1

325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (888) 731-8994

Other practice location 2

139 Centre St Ph 120
New York, NY 10013-4559
Phone (888) 731-8994

Other practice location 3

100 Sun Ave NE Ste 650
Albuquerque, NM 87109-4670
Phone (888) 731-8994

Other practice location 4

100 Pearl St Fl 14
Hartford, CT 06103-4500
Phone (888) 731-8994

Other practice location 5

999 18th St Ste 3000
Denver, CO 80202-2449
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240213000641 CT Practitioner - Nurse Practitioner 5294950176 Reassigns benefits to 1 organization
I20240213001016 NY Practitioner - Nurse Practitioner 5294950176
I20240214004148 VA Practitioner - Nurse Practitioner 5294950176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12530CTMDPhysical Therapist
0101373COMDFamily Nurse Practitioner
93280CTMDFamily Nurse Practitioner
68821NMMDFamily Nurse Practitioner
123843TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visavis Health Care Medical Group of CT LLC CurrentSince Jan 1, 2024 Accepting new patients
Visavis Health Care Medical Group of VA LLC CurrentSince Dec 31, 2023 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022

1481 McDonald Ave
Fl 2
Brooklyn, NY 11230

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

7300 State Highway 121
Ste 300374
McKinney, TX 75070

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

Interoperability endpoints

  • Direct secure messaging: njideka.ikeakor.1@27069.direct.athenahealth.com
  • Direct secure messaging: njideka.ikeakor.1@19152.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1790111557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 JACKSON CREEK BEND LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8531 JACKSON CREEK BEND LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963780",
            "telephone_number": "713-303-0286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N Saint Paul St Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752013923",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St Ph 120",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134559",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Sun Ave NE Ste 650",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094670",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Pearl St Fl 14",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061034500",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 18th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022449",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEAKOR",
        "first_name": "NJIDEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "68821",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "123843",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "93280",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "353528",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0101373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.