Individual provider Active NPI

Christy Amanda Obiageri Ogbuehi, AGNP-C

  • Gerontology Nurse Practitioner
  • Rowlett, TX
National Provider Identifier
1225593429
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP140058 Issued in TX
Practice address
8008 Rice Dr
Rowlett, TX 75088-6698
Phone
(469) 222-8605
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP140058 TX
Gerontology Nurse Practitioner 363LG0600X AP140058 TX Primary

Addresses

Primary practice location

8008 Rice Dr
Rowlett, TX 75088-6698

Mailing address

8008 Rice Dr # 8008
Rowlett, TX 75088-6698
Phone (469) 222-8605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211208000459 TX Practitioner - Nurse Practitioner 1658791827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140058TXMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1225593429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 RICE DR # 8008",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750886698",
            "telephone_number": "469-222-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 RICE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750886698",
            "telephone_number": "469-222-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUEHI",
        "first_name": "CHRISTY",
        "middle_name": "AMANDA OBIAGERI",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP140058",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP140058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.