Individual provider Active NPI

Chinyere Racheal Ozigbu

  • Family Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1861226656
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1152476 Issued in TX
Practice address
21111 Barton Hollow LN
Richmond, TX 77407-6416
Phone
(832) 362-3650
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 1152476 TX Primary

Addresses

Primary practice location

21111 Barton Hollow LN
Richmond, TX 77407-6416

Mailing address

21111 Barton Hollow LN
Richmond, TX 77407-6416
Phone (832) 362-3650

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
I20240916002014 TX Practitioner - Nurse Practitioner 2163963307 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1152476TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom House Calls LLC CurrentSince Sep 1, 2024 Accepting new patients
Kamvic Home Health Care LLC PastSince Sep 1, 2024 Accepting new patients

Locations

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1861226656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21111 BARTON HOLLOW LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076416",
            "telephone_number": "832-362-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21111 BARTON HOLLOW LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076416",
            "telephone_number": "832-362-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZIGBU",
        "first_name": "CHINYERE",
        "middle_name": "RACHEAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1152476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.