Active NPI
Cynthia Obiageli Ejoh, APRN
- Family Nurse Practitioner
- Farmers Branch, TX
National Provider Identifier
1124844303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1180345
- Practice address
- 1790 Mercer Pkwy Apt 8304
Farmers Branch, TX 75234-1454 - Phone
- (469) 763-6415
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1180345 | TX | Primary |
Addresses
Primary practice location
1790 Mercer Pkwy Apt 8304
Farmers Branch, TX 75234-1454
Mailing address
1790 Mercer Pkwy Apt 8304
Farmers Branch, TX 75234-1454
Phone (469) 763-6415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 14, 2025 through Jul 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1180345 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bomray Medical Clinic | Past | Accepting new patients | |
| Sports and Spine Physical Therapy NC Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Charlotte, NC
- NPI 1013974864
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1982651618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1124844303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 MERCER PKWY APT 8304",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752341454",
"telephone_number": "469-763-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 MERCER PKWY APT 8304",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752341454",
"telephone_number": "469-763-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJOH",
"first_name": "CYNTHIA",
"middle_name": "OBIAGELI",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1180345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.