Individual provider Active NPI

Ruth Ikobe, NP

  • Clinical Nurse Specialist
  • Sugar Land, TX
National Provider Identifier
1164687919
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
666912 Issued in TX
Practice address
4760 Sweetwater Blvd
Suite 101
Sugar Land, TX 77479-3172
Phone
(281) 491-9300
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 666912 TX Primary

Addresses

Primary practice location

4760 Sweetwater Blvd
Suite 101
Sugar Land, TX 77479-3172

Mailing address

4760 Sweetwater Blvd
Suite 101
Sugar Land, TX 77479-3172
Phone (281) 491-9300

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
666912TXMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nasrullah Manji, M.D., P.a. PastSince Jan 21, 2011 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1164687919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SWEETWATER BLVD",
            "address_2": "SUITE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793172",
            "telephone_number": "281-491-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 SWEETWATER BLVD",
            "address_2": "SUITE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793172",
            "telephone_number": "281-491-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKOBE",
        "first_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "666912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.