Individual provider Active NPI

Gladys Chidiebere Ezem, APRN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1942702287
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1203560 Issued in TX
Practice address
14458 Andrea Way LN
Houston, TX 77083-7712
Phone
(832) 762-7348
Fax
(833) 806-3546
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 835691 TX
Case Management Registered Nurse 163WC0400X 835691 TX
Case Manager/Care Coordinator 171M00000X TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 1203560 TX Primary

Addresses

Primary practice location

14458 Andrea Way LN
Houston, TX 77083-7712

Mailing address

14458 Andrea Way LN
Houston, TX 77083-7712
Phone (832) 762-7348

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
I20250813004042 TX Practitioner - Nurse Practitioner 9537667340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14458 Andrea Way LN
Houston, TX 77083-7712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
835691TXMDRegistered Nurse
1203560TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gladmind Wellness PLLC Current Accepting new patients
Gladmind Wellness Multi-Specialty CurrentSince Jul 21, 2025 Accepting new patients
Gladkids, LLC CurrentSince Dec 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1942702287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14458 ANDREA WAY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837712",
            "telephone_number": "832-762-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14458 ANDREA WAY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837712",
            "telephone_number": "832-762-7348",
            "fax_number": "833-806-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEM",
        "first_name": "GLADYS",
        "middle_name": "CHIDIEBERE",
        "credential": "APRN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "835691",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "835691",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1203560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.