EMEKA MADU (NPI# 1275003824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275003824 |
| Entity Type | Individual |
| Full Name | EMEKA MADU |
| Credential | NP |
| Practice Address |
170 S Green Valley Pkwy Ste 300 Henderson NV 89012-3145 |
| Mailing Address |
170 S Green Valley Pkwy Henderson NV 89012-3132 |
| Practice Telephone | 7755077291 |
| Mailing Telephone | 7755077291 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
818780 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP139836 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6565 Fanin St, Houston, TX 77030 | 7134412635 |
| Street Address |
170 S GREEN VALLEY PKWY STE 300 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89012-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073533881 | Praveen Korivi | Family Medicine | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2006-07-21 |
| 1770068058 | Brooke Dena Conway-kleven | Physical Therapist | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-10-02 |
| 1639658024 | Sofia Abdala | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-08-07 |
| 1609355098 | Channing Hayes | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-08-07 |
| 1316426778 | Kayla Johnson | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-08-07 |
| 1639657398 | Daniel Waruingi | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-08-03 |
| 1790263838 | Alicia Kundratic | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-07-31 |
| 1356829451 | Michael Dalton | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-07-31 |
| 1144708280 | Felisa Hiteshew | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012 | 2018-07-31 |
| 1932687068 | Patricia Burton | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
| 1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
| 1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
| 1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
| 1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
| 1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
| Find all providers in zip 89012 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1902384472 | Nikesha Mobley | Nurse Practitioner | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, NV 89012-6019 | 2018-08-06 |
| 1851805295 | Elise Noelle Sterritt | Nurse Practitioner | 142 Willow Glen Ct, Henderson, NV 89074-0659 | 2017-11-21 |
| 1346855087 | Emil Almachar | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2020-09-10 |
| 1386289718 | Naomi Satina Cruz-moreno | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-11-08 |
| 1386206571 | Christina Clark | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-07-08 |
| 1922567619 | Theresa Elizabeth Gordon | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-03-13 |
| 1063983682 | Christina Galon | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-12-07 |
| 1245758341 | Julie Federico Palacios | Nurse Practitioner | 10624 S Eastern Ave, Henderson, NV 89052-2982 | 2017-09-08 |
| 1730630674 | Deanne Ting Omar | Nurse Practitioner | 2900 W Horizon Ridge Pkwy, Ste 221, Henderson, NV 89052 | 2016-10-15 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.