Active NPI
Patience Afokailu Akpobome, FNP NP-C
- Family Nurse Practitioner
- Waller, TX
National Provider Identifier
1053802496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F04180278
- Practice address
- 1225 Farr St
Waller, TX 77484-8486 - Phone
- (936) 372-3003
- Fax
- (936) 372-8070
- NPI assigned
- May 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | F04180278 | TX | Primary |
Addresses
Primary practice location
1225 Farr St
Waller, TX 77484-8486
Mailing address
1225 Farr St
Waller, TX 77484-8486
Phone (936) 372-3003
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180912001692 | TX | Practitioner - Nurse Practitioner | 6608126644 | Practice locations: Waller, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1225 Farr St
Waller, TX 77484-8486
Phone (936) 372-3003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F04180278 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1053802496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 FARR ST",
"city": "WALLER",
"state": "TX",
"postal_code": "774848486",
"telephone_number": "936-372-3003",
"fax_number": "936-372-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 FARR ST",
"city": "WALLER",
"state": "TX",
"postal_code": "774848486",
"telephone_number": "936-372-3003",
"fax_number": "936-372-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKPOBOME",
"first_name": "PATIENCE",
"middle_name": "AFOKAILU",
"credential": "FNP NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "F04180278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
- 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.