Theda Edwards-Labome, OWNER/BILLER/CODER

Primary specialty

ContractorTaxonomy code 171W00000X

License

0000000000 Issued in TX

Practice address

15402 Blueridge CT
Missouri City, TX 77489-2606

Phone

(832) 398-2707

Fax

(832) 770-4396

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Med-Tech Office Management, LLC

  • Specialist
  • Missouri City, TX
  • NPI 1669718490
  NPD Authorized official
• Essential Body Bar

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1821625815
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1144950585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591404",
            "telephone_number": "832-398-2707",
            "fax_number": "832-770-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15402 BLUERIDGE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892606",
            "telephone_number": "832-398-2707",
            "fax_number": "832-770-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-LABOME",
        "first_name": "THEDA",
        "credential": "OWNER/BILLER/CODER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecotoa Investments,Inc.
• Edith Ede
• Joy Ngozi Ede, APRN
• Eden Hospice Care Services, Inc.
• Educare Community Living Corporation - Gulf Coast
• Zachary Edwards
• Egbe F Ware
• Mona Rachel Egby, R.PH.
• Leticia Egede
• Ej Mobility Solutions

• Contractor in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.