Individual provider Active NPI

Beatrice Wemegah Gyebi, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1366816787
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126171 Issued in TX
Practice address
2594 FM 1960 Rd
Houston, TX 77073-2506
Phone
(832) 957-3908
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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 AP126171 TX Primary

Addresses

Primary practice location

2594 FM 1960 Rd
Houston, TX 77073-2506

Mailing address

2594 FM 1960 Rd
Houston, TX 77073-2506

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
I20190924003750 TX Practitioner - Nurse Practitioner 3476883067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126171TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA CurrentSince Oct 1, 2019 Accepting new patients
Village Family Practice, L.L.P CurrentSince Oct 1, 2019 Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

12611 S Gessner Rd
Ste B
Houston, TX 77071
Phone (346) 202-3492

Interoperability endpoints

  • Direct secure messaging: beatrice.gyebi.1@13711.direct.athenahealth.com

Organizations & group practices 2

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1366816787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 FM 1960 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770732506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 FM 1960 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770732506",
            "telephone_number": "832-957-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYEBI",
        "first_name": "BEATRICE",
        "middle_name": "WEMEGAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.