Individual provider Active NPI

Ifeoma Nelly Ude-Okoro, FNP-C

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1124508478
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138497 Issued in TX
Practice address
3021 Texas Pkwy
Missouri City, TX 77489
Phone
(832) 548-5000
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 701170 TX
General Practice Physician 208D00000X AP138497 TX
Nurse Practitioner 363L00000X AP138497 TX
Family Nurse Practitioner 363LF0000X AP138497 TX Primary

Addresses

Primary practice location

3021 Texas Pkwy
Missouri City, TX 77489

Mailing address

3021 Texas Pkwy
Missouri City, TX 77489
Phone (832) 548-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, CO, KS, NM, ND6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20191112000612 TX Practitioner - Nurse Practitioner 7012349145 Reassigns benefits to 4 organizations
I20250318003258 WA Practitioner - Nurse Practitioner 7012349145 Reassigns benefits to 1 organization
I20250321000753 CO Practitioner - Nurse Practitioner 7012349145 Reassigns benefits to 2 organizations
I20250321002743 KS Practitioner - Nurse Practitioner 7012349145 Reassigns benefits to 1 organization
I20251106003164 NM Practitioner - Nurse Practitioner 7012349145 Reassigns benefits to 1 organization
I20260311002691 ND Practitioner - Nurse Practitioner 7012349145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Community Health Services, IncGroup PAC ID 7911969092, shared by 63 NPIs, 153 clinicians

Practice addresses (Care Compare)

1415 California St
Houston, TX 77006-2602
Phone (832) 548-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
701170TXMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Sep 13, 2022 Accepting new patients
Grow Healthcare Group PA CurrentSince Jul 9, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Sep 13, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince Mar 19, 2025 Accepting new patients
9Ine4Lyf Behavioral Solutions Current Accepting new patients
Grow Healthcare Group of Kansas PA CurrentSince Feb 14, 2025 Accepting new patients
Sondermind Provider Network LLC CurrentSince Aug 9, 2025 Accepting new patients

Locations

1560 Broadway
Ste 1600
Denver, CO 80202
Phone (480) 493-0900

1560 Broadway
Denver, CO 80202
Phone (623) 363-6103

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

1415 California St
Houston, TX 77006
Phone (713) 665-8800

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3494

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

5616 Lawndale St
Ste A108
Houston, TX 77023
Phone (713) 759-0912

10021 Main St
Ste B3
Houston, TX 77025
Phone (713) 668-1166

3021 Texas Pkwy
Missouri City, TX 77489

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1124508478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 TEXAS PKWY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77489",
            "telephone_number": "832-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 TEXAS PKWY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77489",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDE-OKORO",
        "first_name": "IFEOMA",
        "middle_name": "NELLY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "701170",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "AP138497",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138497",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.