Individual provider Active NPI

Unyime Aseyen Ekanem

  • Licensed Vocational Nurse
  • Sugar Land, TX
National Provider Identifier
1295213486
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
209334 Issued in TX
Practice address
11929 University Blvd Ste 2M
Sugar Land, TX 77479-4757
Phone
(281) 238-8775
Fax
(281) 491-7812
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 209334 TX
Licensed Vocational Nurse 164X00000X 209334 TX Primary

Addresses

Primary practice location

11929 University Blvd Ste 2M
Sugar Land, TX 77479-4757

Mailing address

13225 Royal Lake Dr
Conroe, TX 77303-2860
Phone (281) 827-7539

Other identifiers 1

IdentifierTypeStateIssuer
14025664OtherTXTEXAS DEPARTMENT OF SAFETY

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
209334TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Home Health Holdings, LLC Past 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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1295213486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 ROYAL LAKE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773032860",
            "telephone_number": "281-827-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 UNIVERSITY BLVD STE 2M",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794757",
            "telephone_number": "281-238-8775",
            "fax_number": "281-491-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKANEM",
        "first_name": "UNYIME",
        "middle_name": "ASEYEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "209334",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "209334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF SAFETY",
            "identifier": "14025664",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

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