Individual provider Active NPI

Florence Isi Iyoha

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1326553462
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016029834 Issued in TX
Practice address
10907 Vanderford Dr
Houston, TX 77099-4764
Phone
(713) 374-5121
NPI assigned
Dec 12, 2017
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016029834 TX Primary

Addresses

Primary practice location

10907 Vanderford Dr
Houston, TX 77099-4764

Mailing address

10907 Vanderford Dr
Houston, TX 77099-4764
Phone (713) 374-5121

Other identifiers 1

IdentifierTypeStateIssuer
2016029834OtherAMERICAN NURSES CREDENTIALING CENTER

Other names 1

  • Florence Isi Iyoha Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200329000525 TX Practitioner - Nurse Practitioner 8325477268 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016029834TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Holistic Virtual-Jantif Healthcare CurrentSince Nov 28, 2021 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 17, 2020 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Jan 7, 2021 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 17, 2020 Accepting new patients

Locations

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1326553462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 VANDERFORD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994764",
            "telephone_number": "713-374-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 VANDERFORD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994764",
            "telephone_number": "713-374-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYOHA",
        "first_name": "FLORENCE",
        "middle_name": "ISI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2016029834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN  NURSES CREDENTIALING CENTER",
            "identifier": "2016029834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORENCE",
            "last_name": "IYOHA",
            "middle_name": "ISI",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.