Individual provider Active NPI

Solange10 Habibatur Mbah

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1285275008
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
935091 Issued in TX
Practice address
2410 S Kirkwood Rd Apt 285
Houston, TX 77077-6640
Phone
(240) 644-2360
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 935091 TX Primary

Addresses

Primary practice location

2410 S Kirkwood Rd Apt 285
Houston, TX 77077-6640

Mailing address

2410 S Kirkwood Rd Apt 285
Houston, TX 77077-6640
Phone (240) 644-2360

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
935091TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1285275008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S KIRKWOOD RD APT 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776640",
            "telephone_number": "240-644-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S KIRKWOOD RD APT 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776640",
            "telephone_number": "240-644-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBATUR MBAH",
        "first_name": "SOLANGE10",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "935091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.