Individual provider Active NPI

Patience Afokailu Akpobome, FNP NP-C

  • Family Nurse Practitioner
  • Waller, TX
National Provider Identifier
1053802496
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04180278 Issued in TX
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

Updated by the provider on Jul 11, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
F04180278TXMDFamily 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

Verify at the official NPI Registry.