Individual provider Active NPI

Elizabeth Nwabardi

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1801509633
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1100828 Issued in TX
Practice address
8700 Commerce Park Dr Ste 220
Houston, TX 77036-7431
Phone
(713) 636-3889
Fax
(832) 649-4403
NPI assigned
Dec 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71201 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0100321 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1100828 TX Primary

Addresses

Primary practice location

8700 Commerce Park Dr Ste 220
Houston, TX 77036-7431

Mailing address

8700 Commerce Park Dr Ste 220
Houston, TX 77036-7431
Phone (713) 636-3889

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
I20241113003780 TX Practitioner - Nurse Practitioner 2365976362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Behavioral Health ServicesGroup PAC ID 7012347156, 2 clinicians

Practice addresses (Care Compare)

3626 Royal Royce Dr
Houston, TX 77042-4227
Phone (832) 489-5495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0100321COMDPsychiatric/Mental Health Nurse Practitioner
71201NMMDPsychiatric/Mental Health Nurse Practitioner
1100828TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Behavioral Health Services Psychiatric/Mental Health CurrentSince Oct 1, 2024 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": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1801509633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367431",
            "telephone_number": "713-636-3889",
            "fax_number": "832-649-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367431",
            "telephone_number": "713-636-3889",
            "fax_number": "832-649-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWABARDI",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "71201",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0100321",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1100828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.