Faith Ebangha Mabo, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1008864 Issued in TX

Practice address

6405 Clairfield St
Corpus Christi, TX 78414-3520

Phone

(361) 558-3614

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ebangha Faith Mabo Other name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Kidney Disease Physicians, PLLCGroup PAC ID 2860478815, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: fmabo28807@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Area Kidney Disease Physicians, PLLC

  • Specialist
  • Corpus Christi, TX
  • NPI 1073517785
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Spohn Health System Corporation

  dba CHRISTUS Spohn Hospital Corpus Christi

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  Care Compare affiliation

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1093326167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 CLAIRFIELD ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143520",
            "telephone_number": "361-558-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 CLAIRFIELD ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143520",
            "telephone_number": "361-558-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABO",
        "first_name": "FAITH",
        "middle_name": "EBANGHA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1008864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBANGHA",
            "last_name": "MABO",
            "middle_name": "FAITH",
            "credential": "APRN-CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• M Ayman Ghraowi, MD PA (Northwest Cancer Center)
• M Hernandez MD PLLC
• M'Agine Support Services, LLC
• M'Agine Supported Living
• Ali Abdalla Maawy, M.D
• Mildred Necesario Macasinag, PHYSICAL THERAPIST
• Brandon David Macias, FNP-C
• Macias, McKenzie, Moreno, LLC (Out N' About Day Training)
• Michael Macias, PTA
• Licamied Chalise Macklin, PHARMD

• Family Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.