Innocentia Adaure Eronwu, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1036250 Issued in TX

Practice address

1347 Ridgeview Dr
Cedar Hill, TX 75104-6234

Phone

(469) 766-3749

NPI assigned

May 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Raj.Shiwach, M.D., P.a.Group PAC ID 4587744560, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Raj Shiwach, MD, PA

  • Psychiatry Physician
  • Desoto, TX
  • NPI 1750589016
  Medicare reassignment Care Compare group NPD
• Albert Boyd MD PA

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1336329150
  NPD (past)

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

{
    "created_epoch": "1619827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619827200000",
    "number": "1992388508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 RIDGEVIEW DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046234",
            "telephone_number": "469-766-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 RIDGEVIEW DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046234",
            "telephone_number": "469-766-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERONWU",
        "first_name": "INNOCENTIA",
        "middle_name": "ADAURE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-01",
        "last_updated": "2021-05-01",
        "certification_date": "2021-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1036250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Erskine
• Stella Escamilla, COTA
• Esfort Homecare Inc.
• Belinda B. Espey, RPH
• Alina R Esquivel, LPC

• Psychiatric/Mental Health Nurse Practitioner in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.