Active NPI
Modesta Obiageli Onyia, FNP
- Family Nurse Practitioner
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 679518
- Practice address
- 205 E University Ave
Suite 157
Georgetown, TX 78626-6814 - Phone
- (512) 868-9078
- Fax
- (512) 819-0646
- NPI assigned
- Aug 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 679518 | TX | Primary |
Addresses
Primary practice location
205 E University Ave
Suite 157
Georgetown, TX 78626-6814
Mailing address
1913 Mesa CT
Garland, TX 75040-8289
Phone (214) 629-9639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 Hilton Ave
Suite 15
Hempstead, NY 11550-8116
Phone (516) 854-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timely Psychiatry and Family Health NP Practice | Current | Accepting new patients | |
| Jenmerit Home Health Inc | Past | Accepting new patients |
Locations
230 Hilton Ave
Ste 103
Hempstead, NY 11550
Phone (516) 464-0266
230 Hilton Ave
Ste 15
Hempstead, NY 11550
Phone (516) 464-0266
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Jenmerit Home Health Inc | Home health agency | 5% Or Greater Direct Ownership Interest Corporate Officer Corporate Director W-2 Managing Employee |
Dec 20, 2004 Dec 20, 2004 Aug 4, 2005 Dec 20, 2004 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Garland, TX
- NPI 1902840523
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hempstead, NY
- NPI 1659090603
-
- Home Health Agency
- Garland, TX
- NPI 1902840523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1013340520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 MESA CT",
"city": "GARLAND",
"state": "TX",
"postal_code": "750408289",
"telephone_number": "214-629-9639",
"fax_number": "972-278-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E UNIVERSITY AVE",
"address_2": "SUITE 157",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786266814",
"telephone_number": "512-868-9078",
"fax_number": "512-819-0646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYIA",
"first_name": "MODESTA",
"middle_name": "OBIAGELI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "679518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.