Individual provider Active NPI

Joy Obianuju Aneke

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1366036832
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2020090152 Issued in TX
Practice address
201 Kingwood Medical Dr Ste A450
Kingwood, TX 77339-6027
Phone
(832) 701-0283
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 2020090152 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2020090152 TX Primary

Addresses

Primary practice location

201 Kingwood Medical Dr Ste A450
Kingwood, TX 77339-6027

Mailing address

14318 Kingston Falls LN
Humble, TX 77396-1932
Phone (281) 608-9172

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
2020090152TXMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1366036832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14318 KINGSTON FALLS LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961932",
            "telephone_number": "281-608-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KINGWOOD MEDICAL DR STE A450",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396027",
            "telephone_number": "832-701-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANEKE",
        "first_name": "JOY",
        "middle_name": "OBIANUJU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2020090152",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2020090152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.