Individual provider Active NPI

Nwanneoma Patricia Ndubisi, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1063926749
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135064 Issued in TX
Practice address
9100 Southwest Fwy Ste 100a
Houston, TX 77074-1523
Phone
(281) 310-7169
Fax
(866) 407-9992
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP135064 TX Primary

Addresses

Primary practice location

9100 Southwest Fwy Ste 100a
Houston, TX 77074-1523

Mailing address

9100 Southwest Fwy Ste 100a
Houston, TX 77074-1523
Phone (281) 310-7169

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135064TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Hospice Inc PastSince Feb 20, 2023 Accepting new patients
All American Star Hospice Inc PastSince Apr 26, 2017 Accepting new patients
Stars Palliative & Hospice Care, Inc. PastSince Apr 1, 2015 Accepting new patients
United Palliative and Hospice Care, Inc PastSince Dec 15, 2017 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1063926749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SOUTHWEST FWY STE 100A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741523",
            "telephone_number": "281-310-7169",
            "fax_number": "866-407-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SOUTHWEST FWY STE 100A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741523",
            "telephone_number": "281-310-7169",
            "fax_number": "866-407-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUBISI",
        "first_name": "NWANNEOMA",
        "middle_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.