Individual provider Active NPI

Eberechukwu Uzoamaka Ajumobi, DNP FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1053136986
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1178250 Issued in TX
Practice address
11301 Fallbrook Dr
Houston, TX 77065-4237
Phone
(281) 897-9966
NPI assigned
Nov 16, 2024
Last updated
Mar 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1178250 TX Primary

Addresses

Primary practice location

11301 Fallbrook Dr
Houston, TX 77065-4237

Mailing address

18111 Ithaca Landing LN
Cypress, TX 77433-7791
Phone (832) 773-1528

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251022004569 TX Practitioner - Nurse Practitioner 3173011087 Reassigns benefits to 1 organization

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
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians

Practice addresses (Care Compare)

8810 Long Point Rd
Houston, TX 77055-3006
Phone (713) 468-7833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1178250TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners TX PLLC CurrentSince Sep 10, 2025 Accepting new patients

Locations

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

7633 Bellfort St
Houston, TX 77061
Phone (713) 644-2101

8810 Long Point Rd
Houston, TX 77055
Phone (713) 465-7833

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1053136986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 ITHACA LANDING LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337791",
            "telephone_number": "832-773-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654237",
            "telephone_number": "281-897-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJUMOBI",
        "first_name": "EBERECHUKWU",
        "middle_name": "UZOAMAKA",
        "credential": "DNP FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-16",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1178250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.