Active NPI
Hephzibah Visiting Clinicians
- Family Nurse Practitioner
- Desoto, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HEPHZIBAH VISITING CLINICIANS
- Practice address
- 1534 N Hampton Rd Ste 100
Desoto, TX 75115-2493 - Phone
- (469) 941-4029
- Fax
- (866) 803-8759
- NPI assigned
- Apr 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Siminibe Moneke
- Title
- Managing Member
- Phone
- (469) 585-8129
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1534 N Hampton Rd Ste 100
Desoto, TX 75115-2493
Mailing address
1534 N Hampton Rd Ste 100
Desoto, TX 75115-2493
Phone (469) 585-8129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180717000196 | TX | Part B Supplier - Clinic/Group Practice | 1254688641 |
Receives reassigned benefits from 36 practitioners Practice locations: Desoto, TX |
National Provider Directory
National Provider DirectoryLocations
111 Executive Way
Ste 102
Desoto, TX 75115
Phone (469) 585-8129
111 Executive Way
Ste 106
Desoto, TX 75115
Phone (469) 585-8129
1534 N Hampton Rd
#100
Desoto, TX 75115
Practitioners & affiliated clinicians
Practitioners 38
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Desoto, TX
- NPI 1861902934
Single Specialty, TX
-
- Family Nurse Practitioner
- Desoto, TX
- NPI 1316809668
Multi-Specialty, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782950400000",
"number": "1083101075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 N HAMPTON RD STE 100",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152493",
"telephone_number": "469-585-8129",
"fax_number": "866-803-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 N HAMPTON RD STE 100",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152493",
"telephone_number": "469-941-4029",
"fax_number": "866-803-8759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEPHZIBAH VISITING CLINICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-16",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A",
"authorized_official_last_name": "MONEKE",
"authorized_official_first_name": "SIMINIBE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "469-585-8129"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.