Ebika Eyong Mbuagbaw

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP145966 Issued in TX

Practice address

1420 FM 1960 Bypass Rd E Ste 116
Humble, TX 77338-3934

Phone

(713) 457-4372

NPI assigned

Aug 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA, MA, NJ4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Eleanor Health Professional Ma, PLLCGroup PAC ID 7416360946, 12 clinicians

Eleanor Health Professional NJ, LLCGroup PAC ID 3779904602, 15 clinicians

Eleanor Health Professional NC PLLCGroup PAC ID 5799017943, 25 clinicians

Eleanor Health Professional Wa PLLCGroup PAC ID 2365855210, 8 clinicians

Eleanor Health Professional TX, PLLCGroup PAC ID 9335527118, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebika.mbuagbaw.1@21505.direct.athenahealth.com

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.

• Eleanor Health Professional Ma, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Brockton, MA
  • NPI 1205446374
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional Wa, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Everett, WA
  • NPI 1043827132
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional TX, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • San Antonio, TX
  • NPI 1932854981
  Medicare reassignment Care Compare group
• Eleanor Health Professional NJ, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cherry Hill, NJ
  • NPI 1790310738
  Medicare reassignment Care Compare group
• Kinghaven Counseling Group Inc

  • Case Management Agency
  • Houston, TX
  • NPI 1396807350
  Medicare reassignment NPD
• Eleanor Health Professional NC, PLLC

  • Psychiatry Physician
  • Hickory, NC
  • NPI 1891349155
  Care Compare group

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1194335240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13623 ELDRIDGE SPRINGS WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836538",
            "telephone_number": "165-167-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 FM 1960 BYPASS RD E STE 116",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383934",
            "telephone_number": "713-457-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21214 Northwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774293373",
            "country_code": "US",
            "telephone_number": "832-912-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBUAGBAW",
        "first_name": "EBIKA",
        "middle_name": "EYONG",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP145966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Mayor Diaz
• Allwell C Mbagwu, PHARM.D
• MBC Ambulatory Surgery Center LP
• MBC Ambulatory Surgery Center, LP
• MBM Assisting LLC
• MC Medical Equipment Services
• Alisha McBride
• Casey E McCain, M.D.
• Stelleshia McClelland
• Kimberly McClure, PT, DPT, NTMTC

• Psychiatric/Mental Health Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.