Individual provider Active NPI

Onyinyechi Egbukwu, FNP

  • Family Nurse Practitioner
  • League City, TX
National Provider Identifier
1942079389
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1043736 Issued in TX
Practice address
2360 Gulf Fwy S Ste 100C
League City, TX 77573-6448
Phone
(281) 824-1480
Fax
(281) 220-6407
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 1043736 TX Primary

Addresses

Primary practice location

2360 Gulf Fwy S Ste 100C
League City, TX 77573-6448

Mailing address

1111 W Adoue St
Alvin, TX 77511-2718
Phone (281) 824-1480

Other practice location 1

1111 W Adoue St
Alvin, TX 77511-2718
Phone (281) 824-1480 ext. 1594

Other names 1

  • Onyinyechi Egbukwu Former name

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
I20241017002194 TX Practitioner - Nurse Practitioner 8426580283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare for the Homeless-HoustonGroup PAC ID 4385614882, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

1212 Prairie St
Houston, TX 77002-2008
Phone (713) 220-9730

1934 Caroline St
Houston, TX 77002-8210
Phone (713) 286-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F Austin Community Health Center,Inc CurrentSince Aug 5, 2024 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

215 Oak Dr S
Ste H
Lake Jackson, TX 77566
Phone (979) 297-1007

2360 Gulf Fwy S
Ste 100C
League City, TX 77573
Phone (281) 554-0123

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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1942079389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W ADOUE ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112718",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 GULF FWY S STE 100C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736448",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Adoue St",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775112718",
            "country_code": "US",
            "telephone_number": "281-824-1480 x1594",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGBUKWU",
        "first_name": "ONYINYECHI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1043736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONYINYECHI",
            "last_name": "EGBUKWU",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.