KELECHI MADUKA (NPI# 1710509740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710509740 |
Entity Type | Individual |
Full Name | KELECHI MADUKA |
Practice Address |
4229 Glenhaven Dr Garland TX 75042-6120 |
Practice Telephone | 4692093783 |
Practice Fax Number | 9729185166 |
Mailing Telephone | 4692093783 |
Mailing Fax Number | 9729185166 |
Enumeration Date | 2020-05-13 |
Last Update Date | 2020-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
789766 | TX | Nursing Service Providers |
Street Address |
4229 GLENHAVEN DR |
City | GARLAND |
State | TX |
Zip Code | 75042-6120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467098079 | Covenant Home Health | Home Health | 4229 Glenhaven Dr, Garland, TX 75042-6120 | 2019-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
Find all providers in zip 75042 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699380477 | Katherine Elaine Holt | Registered Nurse | 15911 Nacogdoches Rd Bldg 2, San Antonio, TX 78247-1107 | 2020-09-09 |
1528672599 | Marianne Elizabeth Toombs | Registered Nurse | 24625 Wilderness Oak Apt 4103, San Antonio, TX 78260-7229 | 2020-09-07 |
1376156695 | Karen Renee Gibbs Green | Registered Nurse | 11502 Yoakum St, Pearland, TX 77584-5711 | 2020-08-26 |
1003424300 | Busola Oloyede | Registered Nurse | 7510 Eastwood Lake Ln, Richmond, TX 77407-2877 | 2020-07-22 |
1366064123 | Elizabeth Rodriguez | Registered Nurse | 1717 Scottsdale Dr Ste 120, Cedar Park, TX 78641-4340 | 2020-05-14 |
1396383238 | Tanya K Mccaskill | Registered Nurse | 2000 Blue Heron Ln, Harker Heights, TX 76548-8678 | 2019-12-10 |
1801441670 | Christle Wanorue | Registered Nurse | 24906 Grand Sapphire Ln, Katy, TX 77493-3224 | 2019-08-07 |
1457912545 | Kenyatta L Holmes | Registered Nurse | 315 W Alabama St Ste 200, Houston, TX 77006-5177 | 2019-06-28 |
1477114262 | Pauline Maduka Ike | Registered Nurse | 6633 Hillcroft St Ste 102, Houston, TX 77081-4816 | 2019-06-24 |
1801452420 | Monica Lynn Gasaway | Registered Nurse | 507 Mockingbird Ln, Nacogdoches, TX 75964-6583 | 2019-05-20 |
Find all providers with the same taxonomy |
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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.