Individual provider Active NPI

Peace Chimebere Ahanonu, FNP

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1891277992
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138183 Issued in TX
Practice address
2004 N Goliad St
Rockwall, TX 75087-7317
Phone
(214) 909-0812
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138183 TX Primary

Addresses

Primary practice location

2004 N Goliad St
Rockwall, TX 75087-7317

Mailing address

2004 N Goliad St
Rockwall, TX 75087-7317
Phone (972) 722-4706

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
I20210831000020 TX Practitioner - Nurse Practitioner 9537565544 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP138183TXMDFamily Nurse Practitioner

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Jul 15, 2024 Accepting new patients
Hephzibah Visiting Clinicians Family CurrentSince Aug 23, 2021 Accepting new patients
American Current Care P.a. CurrentSince Jul 14, 2025 Accepting new patients
American Current Care, P.a. CurrentSince Jul 14, 2025 Accepting new patients
Atrium House Call Clinic, LLC CurrentSince Oct 19, 2022 Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

3817 Stagg Dr
Beaumont, TX 77701
Phone (409) 813-1920

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

9550 Forest Ln
Ste 619
Dallas, TX 75243
Phone (972) 439-5208

111 Executive Way
Ste 102
Desoto, TX 75115
Phone (469) 585-8129

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

2004 N Goliad St
Rockwall, TX 75087
Phone (972) 722-4706

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1891277992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 N GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877317",
            "telephone_number": "972-722-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 N GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877317",
            "telephone_number": "214-909-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHANONU",
        "first_name": "PEACE",
        "middle_name": "CHIMEBERE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.