Active NPI
Ezechukwu Prince Ibekwe, RN
- Psychiatric/Mental Health Registered Nurse
- Richmond, VA
National Provider Identifier
1861937773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 0001238827
- Practice address
- 2224 Watts LN
Richmond, VA 23223-1951 - Phone
- (804) 247-3997
- NPI assigned
- Dec 31, 2016
- Last updated
- May 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001238827 | VA | |
| Community Health Registered Nurse | 163WC1500X | 0001238827 | VA | |
| Home Health Registered Nurse | 163WH0200X | 0001238827 | VA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 0001238827 | VA | Primary |
Addresses
Primary practice location
2224 Watts LN
Richmond, VA 23223-1951
Mailing address
2224 Watts LN
Richmond, VA 23223-1951
Phone (804) 247-3997
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001238827 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tricities Community Services, LLC | Current | Accepting new patients | |
| Royal Pinnacle Services | Current | Accepting new patients | |
| Pinnacle Healthcare LLC | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Henrico, VA
- NPI 1508442294
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colonial Heights, VA
- NPI 1033959812
-
- Adult Mental Health Clinic/Center
- Houston, TX
- NPI 1386465680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1861937773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 WATTS LN",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232231951",
"telephone_number": "804-247-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 WATTS LN",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232231951",
"telephone_number": "804-247-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBEKWE",
"first_name": "EZECHUKWU",
"middle_name": "PRINCE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-31",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001238827",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "VA",
"license": "0001238827",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VA",
"license": "0001238827",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "VA",
"license": "0001238827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.