Individual provider Active NPI

Josephine Aminatu Nzeagwu, RN

  • Pediatric Registered Nurse
  • Stafford, TX
National Provider Identifier
1902388226
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
664363 Issued in TX
Practice address
406 Colony Lake Estates Dr
Stafford, TX 77477-4594
Phone
(713) 377-1687
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 664363 TX Primary

Addresses

Primary practice location

406 Colony Lake Estates Dr
Stafford, TX 77477-4594

Mailing address

406 Colony Lake Estates Dr
Stafford, TX 77477-4594
Phone (713) 377-1687

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

LicenseStateTypeSpecialty
664363TXMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1902388226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 COLONY LAKE ESTATES DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774594",
            "telephone_number": "713-377-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 COLONY LAKE ESTATES DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774594",
            "telephone_number": "713-377-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZEAGWU",
        "first_name": "JOSEPHINE",
        "middle_name": "AMINATU",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "664363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.