Individual provider Active NPI

Christle Wanorue

  • Administrator Registered Nurse
  • Katy, TX
National Provider Identifier
1801441670
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
866038 Issued in TX
Practice address
24906 Grand Sapphire LN
Katy, TX 77493-3224
Phone
(727) 238-1174
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 866038 TX Primary

Addresses

Primary practice location

24906 Grand Sapphire LN
Katy, TX 77493-3224

Mailing address

24906 Grand Sapphire LN
Katy, TX 77493-3224
Phone (727) 238-1174

Other names 1

  • Amogechukwu Udeh Former name

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
866038TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
My Angel Home Care LLC CurrentSince Jun 14, 2020 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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1801441670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24906 GRAND SAPPHIRE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933224",
            "telephone_number": "727-238-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24906 GRAND SAPPHIRE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933224",
            "telephone_number": "727-238-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANORUE",
        "first_name": "CHRISTLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "866038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMOGECHUKWU",
            "last_name": "UDEH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.