Individual provider Active NPI

Obehi Iyoha

  • Licensed Vocational Nurse
  • Mansfield, TX
National Provider Identifier
1013413616
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
308645 Issued in TX
Practice address
2200
Bent Creek Court
Mansfield, TX 76063-7606
Phone
(214) 809-0866
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 308645 TX Primary

Addresses

Primary practice location

2200
Bent Creek Court
Mansfield, TX 76063-7606

Mailing address

2200 Bent Creek CT
Mansfield, TX 76063-1988
Phone (214) 809-0866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
308645TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1013413616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BENT CREEK CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631988",
            "telephone_number": "214-809-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200",
            "address_2": "BENT CREEK COURT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637606",
            "telephone_number": "214-809-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYOHA",
        "first_name": "OBEHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "308645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.