Daniel Ngozi Ezeukwu, PHD, FNP-BC, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

719954 Issued in TX

Practice address

2704 Logan Dr
Mansfield, TX 76063-5101

Phone

(817) 422-7410

NPI assigned

Jul 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy, Registered Nurse

Practice roles

Interoperability endpoints

• Direct secure messaging: dezeukwu@landmarkhealth-direct.org

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.

• Careparth Healthcare System LLP

  • Home Health Agency
  • Mansfield, TX
  • NPI 1124250998
  NPD

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1992935365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 LOGAN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635101",
            "telephone_number": "817-422-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 LOGAN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635101",
            "telephone_number": "817-422-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEUKWU",
        "first_name": "DANIEL",
        "middle_name": "NGOZI",
        "credential": "PHD, FNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "719954",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "719954",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "719954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "719954",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "719954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everwell Psychiatry
• Expedian Family Care, PA
• Extension Home Health Services LLC
• Extension Home Health Services LLC
• Eyes on Lone Star
• Lamarilyn Fadey
• Opeyemi Fadeyi, DDS
• Omolola Olamide Fagboyegun, APRN
• Courtney Ann Fain
• Fairfield-LJ Home Health Care, Inc

• Family Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.