Individual provider Active NPI

Laquisha Renee Umemba, MPH, BSN, RN, CDE

  • Diabetes Educator Registered Nurse
  • Austin, TX
National Provider Identifier
1164973954
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
896671 Issued in TX
Practice address
6725 Derby Downs Dr
Austin, TX 78747-3954
Phone
(501) 912-7452
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 896671 TX
Continuing Education/Staff Development Registered Nurse 163WC1600X 896671 TX
Health Educator 174H00000X
Nursing Care Agency 251J00000X 896671 TX
Diabetes Educator Registered Nurse 163WD0400X 896671 TX Primary

Addresses

Primary practice location

6725 Derby Downs Dr
Austin, TX 78747-3954

Mailing address

6725 Derby Downs Dr
Austin, TX 78747-3954
Phone (501) 912-7452

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
896671TXMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Umemba Health, LLC CurrentSince Dec 22, 2019 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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1164973954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 DERBY DOWNS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787473954",
            "telephone_number": "501-912-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 DERBY DOWNS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787473954",
            "telephone_number": "501-912-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEMBA",
        "first_name": "LAQUISHA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MPH, BSN, RN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "896671",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "896671",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "896671",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TX",
            "license": "896671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.