Active NPI
Chiamaka F. Acho
- Pediatric Nurse Practitioner
- Dallas, TX
National Provider Identifier
1871616342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1170318
- Practice address
- 7859 Walnut Hill LN Ste 200
Dallas, TX 75230-5637 - Phone
- (214) 369-7661
- NPI assigned
- Apr 9, 2007
- Reactivated
- Apr 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1170318 | TX | Primary |
Addresses
Primary practice location
7859 Walnut Hill LN Ste 200
Dallas, TX 75230-5637
Mailing address
4108 Ranchero Dr
Sachse, TX 75048-4857
Phone (214) 417-5000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170318 | TX | MD | Pediatric Nurse Practitioner |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Dallas, TX
- NPI 1629980214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1871616342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 RANCHERO DR",
"city": "SACHSE",
"state": "TX",
"postal_code": "750484857",
"telephone_number": "214-417-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7859 WALNUT HILL LN STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752305637",
"telephone_number": "214-369-7661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHO",
"first_name": "CHIAMAKA",
"middle_name": "F.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"deactivation_date": "2008-03-25",
"reactivation_date": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1170318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.