Individual provider Active NPI

Benadeth Onyinyechi Geoffrey

  • Licensed Practical Nurse
  • Houston, TX
National Provider Identifier
1104312818
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
308702 Issued in TX
Practice address
12939 Whittington Dr
Houston, TX 77077-4755
Phone
(346) 288-9967
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 308702 TX Primary

Addresses

Primary practice location

12939 Whittington Dr
Houston, TX 77077-4755

Mailing address

13102 N Bellaire Estates Dr
Houston, TX 77072-2390
Phone (832) 206-5421

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

LicenseStateTypeSpecialty
308702TXMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1104312818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13102 N BELLAIRE ESTATES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722390",
            "telephone_number": "832-206-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12939 WHITTINGTON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774755",
            "telephone_number": "346-288-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEOFFREY",
        "first_name": "BENADETH",
        "middle_name": "ONYINYECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "308702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.