Individual provider Active NPI

Valantine Ayuk Oben

  • Registered Nurse
  • Porter, TX
National Provider Identifier
1144055005
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
965613 Issued in TX
Practice address
20816 Sheffield Park Dr
Porter, TX 77365-7254
Phone
(713) 851-9360
NPI assigned
Sep 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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 965613 TX Primary

Addresses

Primary practice location

20816 Sheffield Park Dr
Porter, TX 77365-7254

Mailing address

20816 Sheffield Park Dr
Porter, TX 77365-7254

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
965613TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Simplyvital Home Care LLC PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 1

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": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1144055005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20816 SHEFFIELD PARK DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20816 SHEFFIELD PARK DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657254",
            "telephone_number": "713-851-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEN",
        "first_name": "VALANTINE",
        "middle_name": "AYUK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "965613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.