Individual provider Active NPI

Alice Ononuju Obi-Igbedi

  • Registered Nurse
  • Arlington, TX
National Provider Identifier
1104480847
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
964060 Issued in TX
Practice address
902 Pinion Dr Apt 308
Arlington, TX 76017-6171
Phone
(256) 288-2355
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 964060 TX Primary

Addresses

Primary practice location

902 Pinion Dr Apt 308
Arlington, TX 76017-6171

Mailing address

902 Pinion Dr Apt 308
Arlington, TX 76017-6171
Phone (256) 288-2355

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
964060TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1104480847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PINION DR APT 308",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176171",
            "telephone_number": "256-288-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PINION DR APT 308",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176171",
            "telephone_number": "256-288-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI-IGBEDI",
        "first_name": "ALICE",
        "middle_name": "ONONUJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "964060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.