CHUKWUDI CHIBUZO ETONYEAKU (NPI# 1477020808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477020808 |
| Entity Type | Individual |
| Full Name | CHUKWUDI CHIBUZO ETONYEAKU |
| Credential | NP-FNP |
| Practice Address |
6565 Fannin St Houston TX 77030-2703 |
| Mailing Address |
12834 Frances St Stafford TX 77477-4504 |
| Practice Telephone | 7134412076 |
| Mailing Telephone | 2816901479 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP139427 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6565 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980263 | Janis Mary Snyder | Nurse Anesthetist, Certified Registered | 6565 Fannin St, Ste B452, Houston, TX 77030-2703 | 2005-05-28 |
| 1659987105 | Tammy Jean Davis | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-09-21 |
| 1003426826 | Priscilla Diaz | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-08-06 |
| 1285244061 | Jocelyn Gomez | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-08-05 |
| 1508475948 | Kimberly Cuellar | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-30 |
| 1437768520 | Tyfanie Nguyen | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-24 |
| 1912515602 | Latoya Lanette Cains-barnes | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-19 |
| 1497363295 | Reshemma Dion Nard | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-17 |
| 1730705252 | Kiely Alexis Whitham | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-06-20 |
| 1922624873 | Jonathan Brian Thai | Physical Therapy Assistant | 6565 Fannin St, Houston, TX 77030-2703 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1780245134 | Vytal Mobile Health LLC | Nurse Practitioner | 17350 State Highway 249 Ste 222, Houston, TX 77064-1147 | 2019-06-26 |
| 1417418682 | Myounghee Michelle Jeong | Nurse Practitioner | 4215 Misty Heather Ct, Houston, TX 77059-5521 | 2019-03-28 |
| 1932667474 | Catherine Taylor Pence | Nurse Practitioner | 150 Sabine St Apt 158, Houston, TX 77007-8355 | 2019-03-04 |
| 1154894822 | Ada Family Health Clinic Pllc | Nurse Practitioner | 8191 Southwest Fwy Ste 101, Houston, TX 77074-1700 | 2019-01-05 |
| 1346726387 | Adaure Ugwoegbu | Nurse Practitioner | 3119 Clipper Winds Way, Houston, TX 77084-7619 | 2018-07-12 |
| 1841707676 | Tammie Rena Bryant | Nurse Practitioner | 14935 S Richmond Ave Apt 1917, Houston, TX 77082-1598 | 2018-01-02 |
| 1639692189 | Nizar Nayani | Nurse Practitioner | 13801 Napoli Dr Apt 8210, Houston, TX 77070-2690 | 2017-07-17 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1316392483 | Juenella Hatchett | Nurse Practitioner | 10206 Sagegate Dr, Houston, TX 77089-5127 | 2016-04-26 |
| Find all providers in HOUSTON | ||||
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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.