Individual provider Active NPI

Susan Nkechi Egege, RN, BSN

  • Administrator Registered Nurse
  • Houston, TX
National Provider Identifier
1881937035
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
690764 Issued in TX
Practice address
13778 Branford Green Dr
Houston, TX 77083-7309
Phone
(713) 679-3383
Fax
(281) 983-0915
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 690764 TX Primary

Addresses

Primary practice location

13778 Branford Green Dr
Houston, TX 77083-7309

Mailing address

13778 Branford Green Dr
Houston, TX 77083-7309
Phone (713) 679-3383

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
690764TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nazareth Home Healthcare,Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1881937035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13778 BRANFORD GREEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837309",
            "telephone_number": "713-679-3383",
            "fax_number": "281-983-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13778 BRANFORD GREEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837309",
            "telephone_number": "713-679-3383",
            "fax_number": "281-983-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGEGE",
        "first_name": "SUSAN",
        "middle_name": "NKECHI",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "690764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.