Individual provider Active NPI

Priscilla Nwakaego Udeagha, NP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1184297327
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020329 Issued in TX
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

Updated by the provider on Jul 23, 2021

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 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

LicenseStateTypeSpecialty
1020329TXMDFamily 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.

Verify at the official NPI Registry.