Individual provider Active NPI

Chinyere T. Nwanosike, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1831411867
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101830 Issued in TX
Practice address
4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Phone
(972) 715-3800
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 101830 TX Primary

Addresses

Primary practice location

4055 Valley View LN Ste 700
Dallas, TX 75244-5045

Mailing address

3745 W Wells St Apt 102
Milwaukee, WI 53208-3148
Phone (414) 795-9285

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NursePractitioner Health Information Exchange (HIE)

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
I20230824002863 TX Practitioner - Nurse Practitioner 8820451701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

6501 S Fry Rd
Suite 1000
Katy, TX 77494-3377
Phone (832) 260-0670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101830TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Carenow Urgent Care PLLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

6501 S Fry Rd
Ste 1000
Katy, TX 77494
Phone (832) 260-0670

300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445

10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936

Organizations & group practices 2

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1831411867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 W WELLS ST APT 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083148",
            "telephone_number": "414-795-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445045",
            "telephone_number": "972-715-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANOSIKE",
        "first_name": "CHINYERE",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "101830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NursePractitioner",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7500 Beechnut St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770744335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.