Edith Idehen

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

767036 Issued in NY

Practice address

4502 Riverstone Blvd Ste 905
Missouri City, TX 77459-5206

Phone

(281) 903-7613

NPI assigned

Aug 31, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nestar Med Care LLC

  • Home Health Agency
  • Missouri City, TX
  • NPI 1417271859
  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1285116699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20314 JADE PARK DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074173",
            "telephone_number": "713-517-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 905",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595206",
            "telephone_number": "281-903-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEHEN",
        "first_name": "EDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "767036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hypolite
• Karen Ibe
• Icare Dental
• Ideal Care Providers,Inc.
• Ideal Vision Care PLLC
• Faith Idiegbe
• Violet I Idokogi
• Olufunmilayo Oluwayemisi Ifanse
• Ashley Igwe
• Olisaemeka Charles Igwegbe

• Registered Nurse in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.