Fomundam Newnton Mbuh, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP142762 Issued in TX

Practice address

648 E Butler St
Fort Worth, TX 76110-5523

Phone

(817) 382-0005

NPI assigned

Aug 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Noaak Healthcare LLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1578040580

  TX

  Medicare reassignment
• Interventional Partners PLLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1891513677
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1003464496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760080788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 E BUTLER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761105523",
            "telephone_number": "817-382-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBUH",
        "first_name": "FOMUNDAM",
        "middle_name": "NEWNTON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP142762",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venessa Marie Mazur, MSPAS, PA-C
• Stephen Obiorah Mbah
• Natasha Mbenza, OTR
• Prysca N Mbi, MD
• Grace Mbochi
• C Gordon McAdams, MD
• Freedom Antoinette McAdoo, M.DIV., BCC, CHW
• Alaine Gail McAfee, WHNP
• McAlister Dentistry, LLP
• Paul Douglas McAllister, D.M.D.

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, 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 May 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.