Active NPI
Chisom Ogbonnaya
- Basic Emergency Medical Technician
- Humble, TX
National Provider Identifier
1083973184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 1000815
- Practice address
- 1906 Treble Dr Ste 18
Humble, TX 77338-5284 - Phone
- (832) 425-5668
- NPI assigned
- May 9, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 1000815 | TX | Primary |
Addresses
Primary practice location
1906 Treble Dr Ste 18
Humble, TX 77338-5284
Mailing address
9894 Bissonnet St Ste 916
Houston, TX 77036-8272
Phone (713) 271-6900
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 |
|---|---|---|---|
| 1000815 | TX | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1083973184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9894 BISSONNET ST STE 916",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368272",
"telephone_number": "713-271-6900",
"fax_number": "713-271-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 TREBLE DR STE 18",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385284",
"telephone_number": "832-425-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBONNAYA",
"first_name": "CHISOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "TX",
"license": "1000815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.