Individual provider Active NPI

Nnenna Ajughu

  • Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1871168245
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1038877 Issued in TX
Practice address
18215 Stephanotis Trce
Richmond, TX 77407-2099
Phone
(713) 409-2523
Fax
(281) 903-7655
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1038877 TX Primary

Addresses

Primary practice location

18215 Stephanotis Trce
Richmond, TX 77407-2099

Mailing address

18215 Stephanotis Trce
Richmond, TX 77407-2099
Phone (713) 409-2523

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
I20260609004138 TX Practitioner - Nurse Practitioner 5698938033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1038877TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Response Healthcare Services Inc CurrentSince Oct 4, 2011 Accepting new patients

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1871168245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18215 STEPHANOTIS TRCE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072099",
            "telephone_number": "713-409-2523",
            "fax_number": "281-903-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18215 STEPHANOTIS TRCE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072099",
            "telephone_number": "713-409-2523",
            "fax_number": "281-903-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJUGHU",
        "first_name": "NNENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1038877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.