Individual provider Active NPI

Ijeoma Salome Onwuzurike

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1962642991
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP117473 Issued in TX
Practice address
9550 Forest LN Ste 232
Dallas, TX 75243-5905
Phone
(469) 348-5312
Fax
(469) 640-0100
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP117473 TX
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP117473 TX Primary

Addresses

Primary practice location

9550 Forest LN Ste 232
Dallas, TX 75243-5905

Mailing address

1500 High Country LN
Allen, TX 75002-1840
Phone (469) 348-5312

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
I20160628002397 TX Practitioner - Nurse Practitioner 7012208614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Allen, TX 75002
Phone (469) 348-5312

9550 Forest LN
Suite 232
Dallas, TX 75243-5905
Phone (469) 565-0072

Hospital & facility affiliations

  • Lucent Home Health LLC Home health agency, Plano, TX, CCN 743191
  • Amy Home Health Home health agency, Wylie, TX, CCN 747536
  • Apex Homecare Inc Home health agency, Desoto, TX, CCN 743104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Malone Healthcare, LLC Single Specialty CurrentSince Apr 26, 2016 Accepting new patients

Locations

9550 Forest Ln
Ste 232
Dallas, TX 75243
Phone (469) 348-5312

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1962642991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HIGH COUNTRY LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021840",
            "telephone_number": "469-348-5312",
            "fax_number": "972-727-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 232",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435905",
            "telephone_number": "469-348-5312",
            "fax_number": "469-640-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUZURIKE",
        "first_name": "IJEOMA",
        "middle_name": "SALOME",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117473",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP117473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.