Misida Gwanyebit-Fodje, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP133843 Issued in TX

Practice address

18220 Texas 249 Access Road
230
Houston, TX 77070

Phone

(281) 252-8600

NPI assigned

Aug 22, 2017

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1265958110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15006 WILDBERRY CREEK CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332241",
            "telephone_number": "949-294-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 TEXAS 249 ACCESS ROAD",
            "address_2": "230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-252-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWANYEBIT-FODJE",
        "first_name": "MISIDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP133843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reina F. Guzman, PA-C
• Samantha Guzman, PSY.D.
• Tanya Lopez Guzman, D.C.
• Gva Home Healthcare Services LLC
• Diana Gwananji
• Yasmine Gwathmey-Guevara
• GWC Investors LLC
• Gwendolyn a. Gibbs
• Gwendolyn a. Gibbs Gen Partner and Tarek Gibbs
• Gwendolyn Gibbs

• Gerontology Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.