Individual provider Active NPI

Ruqayyah A Ejalonibu

  • Administrator Registered Nurse
  • Richmond, TX
National Provider Identifier
1255280681
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
965944 Issued in TX
Practice address
18635 Greenwood Meadow TRL
Richmond, TX 77407-4605
Phone
(832) 310-7771
Fax
(832) 308-0738
NPI assigned
Jan 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA2000X 965944 TX Primary

Addresses

Primary practice location

18635 Greenwood Meadow TRL
Richmond, TX 77407-4605

Mailing address

18635 Greenwood Meadow TRL
Richmond, TX 77407-4605
Phone (832) 310-7771

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

State licenses

LicenseStateTypeSpecialty
965944TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Hands Healthcare Services LLC CurrentSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1255280681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18635 GREENWOOD MEADOW TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074605",
            "telephone_number": "832-310-7771",
            "fax_number": "832-308-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18635 GREENWOOD MEADOW TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074605",
            "telephone_number": "832-310-7771",
            "fax_number": "832-308-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJALONIBU",
        "first_name": "RUQAYYAH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "965944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.