Individual provider Active NPI

Priscilla Amaka Ogunnowo, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1184186116
Registry record updated Mar 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141198 Issued in TX
Practice address
11618 Ogunnowo LN
Houston, TX 77031-1513
Phone
(832) 457-0943
Fax
(713) 981-4089
NPI assigned
Mar 31, 2019
Last updated
Mar 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP141198 TX Primary

Addresses

Primary practice location

11618 Ogunnowo LN
Houston, TX 77031-1513

Mailing address

11618 Ogunnowo LN
Houston, TX 77031-1513
Phone (832) 457-0943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141198TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internist Chronic Care Management LLC CurrentSince Mar 31, 2021 Accepting new patients
Sumic Care Inc CurrentSince Jul 27, 2007 Accepting new patients
Sumic Health Inc Current Accepting new patients

Locations

2002 Timberloch Pl
Ste 150
The Woodlands, TX 77380
Phone (281) 419-4476

Organizations & group practices 4

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1184186116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 OGUNNOWO LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311513",
            "telephone_number": "832-457-0943",
            "fax_number": "713-981-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 OGUNNOWO LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311513",
            "telephone_number": "832-457-0943",
            "fax_number": "713-981-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNOWO",
        "first_name": "PRISCILLA",
        "middle_name": "AMAKA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.