Dera Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DERA WELLNESS LLC

Practice address

2428 Green River Rd
Royse City, TX 75189-6088

Phone

(616) 173-7225

Fax

(469) 721-0500

NPI assigned

Sep 19, 2025

Organization subpart

No

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

Authorized official

Name

Chidinma Ogundu, NPNPI 1932372570

Title

Owner

Phone

(617) 372-2571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chidinma Ogundu, NP

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1932372570

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1861364960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 GREEN RIVER RD",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751896088",
            "telephone_number": "616-173-7225",
            "fax_number": "469-721-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 GREEN RIVER RD",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751896088",
            "telephone_number": "616-173-7225",
            "fax_number": "469-721-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "OGUNDU",
        "authorized_official_first_name": "CHIDINMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-372-2571",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Earl Dawson
• Dci
• Laressa Elaine Dent
• Dental Family Circle - Royse City PLLC
• Dentist Tree PC
• Cerena Derrick
• Divine Path Ranch
• Kelsey Dosser, OT
• Gloria F Dukes, LMFT
• Sarah Pierce Dumas, LPC

• Family Nurse Practitioner in Royse City, TX
• Providers in Royse City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.