Individual provider Active NPI

Amenze Lisa Aghimien, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1093256141
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132201 Issued in TX
Practice address
10058A Long Point Rd
Houston, TX 77055-4002
Phone
(832) 380-3980
Fax
(832) 380-3985
NPI assigned
Mar 9, 2017
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 AP132201 TX Primary

Addresses

Primary practice location

10058A Long Point Rd
Houston, TX 77055-4002

Mailing address

12377 Merit Dr
Dallas, TX 75251-2224
Phone (972) 957-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NJ, KY, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20260601000200 IL Practitioner - Nurse Practitioner 1254726821 Reassigns benefits to 1 organization
I20260608000866 NJ Practitioner - Nurse Practitioner 1254726821 Reassigns benefits to 1 organization
I20260608001954 KY Practitioner - Nurse Practitioner 1254726821 Reassigns benefits to 1 organization
I20260626001723 OH Practitioner - Nurse Practitioner 1254726821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-3720

1 California St
Suite 2300
San Francisco, CA 94111-5424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Topcare Medical Group Inc PastSince Mar 27, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amenze.aghimien.1@30520.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1093256141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512224",
            "telephone_number": "972-957-3000",
            "fax_number": "972-957-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058A LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554002",
            "telephone_number": "832-380-3980",
            "fax_number": "832-380-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHIMIEN",
        "first_name": "AMENZE",
        "middle_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.