Active NPI
Priscilla Nwakaego Udeagha, NP
- Family Nurse Practitioner
- Sugar Land, TX
National Provider Identifier
1184297327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1020329
- Practice address
- 12926 Dairy Ashford Rd Ste 150
Sugar Land, TX 77478-3293 - Phone
- (832) 541-7665
- NPI assigned
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1020329 | TX | Primary |
Addresses
Primary practice location
12926 Dairy Ashford Rd Ste 150
Sugar Land, TX 77478-3293
Mailing address
12926 Dairy Ashford Rd Ste 150
Sugar Land, TX 77478-3293
Phone (832) 541-7665
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1020329 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1184297327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12926 DAIRY ASHFORD RD STE 150",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783293",
"telephone_number": "832-541-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12926 DAIRY ASHFORD RD STE 150",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783293",
"telephone_number": "832-541-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDEAGHA",
"first_name": "PRISCILLA",
"middle_name": "NWAKAEGO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1020329",
"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 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.