Individual provider Active NPI

Uloma Nwaku Ugbaja

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1154965101
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP145843 Issued in TX
Practice address
1125 Cypress Station Dr Ste B-1
Houston, TX 77090-3055
Phone
(832) 798-0222
Fax
(281) 580-5061
NPI assigned
Nov 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 833387 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP145843 TX Primary

Addresses

Primary practice location

1125 Cypress Station Dr Ste B-1
Houston, TX 77090-3055

Mailing address

1125 Cypress Station Dr Ste B-1
Houston, TX 77090-3055
Phone (832) 798-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20201105000543 TX Practitioner - Nurse Practitioner 5991115834 Reassigns benefits to 3 organizations
I20250122000125 FL Practitioner - Nurse Practitioner 5991115834
I20250516002134 WA Practitioner - Nurse Practitioner 5991115834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Behavioral HealthcareGroup PAC ID 5991754772, 15 clinicians

Practice addresses (Care Compare)

233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990
Phone (936) 521-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145843TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LK & D Enterprises LLC CurrentSince Oct 20, 2020 Accepting new patients
Tri-County Behavioral Healthcare CurrentSince Oct 3, 2022 Accepting new patients
Heartland Physicians Associates PLLC PastSince Aug 25, 2025 Accepting new patients
Heartland Physicians Associates Nephrology PLLC PastSince Nov 17, 2019 Accepting new patients

Locations

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

1125 Cypress Station Dr
Ste B-1
Houston, TX 77090
Phone (281) 537-7207

Organizations & group practices 5

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": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1154965101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE B-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903055",
            "telephone_number": "832-798-8022",
            "fax_number": "281-580-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE B-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903055",
            "telephone_number": "832-798-0222",
            "fax_number": "281-580-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGBAJA",
        "first_name": "ULOMA",
        "middle_name": "NWAKU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "833387",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP145843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.