Millicent Ifeoma Elumelu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1133365 Issued in TX

Practice address

16155 Mission Glen Dr
Houston, TX 77083-5381

Phone

(832) 373-2063

NPI assigned

Oct 29, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1093282014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 MISSION GLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835381",
            "telephone_number": "832-373-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16155 MISSION GLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835381",
            "telephone_number": "832-373-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELUMELU",
        "first_name": "MILLICENT",
        "middle_name": "IFEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "323800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1133365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elt Surgical Assoiciates P.a.
• Mohamed Eltaher, MD
• Esraa Eltaraifee, MD
• Yasien Osama Eltigani, MD, MPH
• Holger Eltzschig, MD
• Elvia Canseco MD PLLC
• Lee Ann Kelly Elvig, MA, LPC
• Issis N Elvir
• Elvira Medical Supplies
• Kendall Elwood, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.