Individual provider Active NPI

Lucas Ego Egebe, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1053666990
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132612 Issued in TX
Practice address
2833 Spears Rd Ste C
Houston, TX 77067-1170
Phone
(346) 270-5897
Fax
(949) 955-7249
NPI assigned
Jul 17, 2012
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 AP132612 TX Primary

Addresses

Primary practice location

2833 Spears Rd Ste C
Houston, TX 77067-1170

Mailing address

2833 Spears Rd Ste C
Houston, TX 77067-1170
Phone (346) 270-5897

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Houston Health Information Exchange (HIE)

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
I20201110002204 TX Practitioner - Nurse Practitioner 7517377179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2833 Spears Rd
Suite C
Houston, TX 77067-1170
Phone (346) 270-5897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP132612TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical-Mental Health Clinic, LLC CurrentSince May 20, 2021 Accepting new patients
360 Therapy & Psychological Services, LLC Past Accepting new patients

Locations

2833 Spears Rd
Ste C
Houston, TX 77067
Phone (240) 701-4605

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, 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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1053666990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 SPEARS RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671170",
            "telephone_number": "346-270-5897",
            "fax_number": "949-955-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 SPEARS RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671170",
            "telephone_number": "346-270-5897",
            "fax_number": "949-955-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGEBE",
        "first_name": "LUCAS",
        "middle_name": "EGO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2023-11-06",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2833 Spears Rd Ste C",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770671170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.