Active NPI
Callista Nwagbo
- Registered Nurse
- Houston, TX
National Provider Identifier
1063979094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 954199
- Practice address
- 10826 Swan Glen Dr
Houston, TX 77099-3203 - Phone
- (346) 754-4677
- NPI assigned
- Feb 26, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 954199 | TX | Primary |
Addresses
Primary practice location
10826 Swan Glen Dr
Houston, TX 77099-3203
Mailing address
10826 Swan Glen Dr
Houston, TX 77099-3203
Phone (346) 754-4677
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954199 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1063979094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10826 SWAN GLEN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770993203",
"telephone_number": "346-754-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10826 SWAN GLEN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770993203",
"telephone_number": "346-754-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAGBO",
"first_name": "CALLISTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "954199",
"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 Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.