Individual provider Active NPI

Obianamma N Ozuah, ANP

  • Adult Health Nurse Practitioner
  • Prosper, TX
National Provider Identifier
1407182983
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
123918 Issued in TX
Practice address
2120 Prairie Dr Ste 302
Prosper, TX 75078-3819
Phone
(469) 262-2065
Fax
(469) 694-3398
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304369 NY
Adult Health Nurse Practitioner 363LA2200X 123918 TX Primary

Addresses

Primary practice location

2120 Prairie Dr Ste 302
Prosper, TX 75078-3819

Mailing address

2120 Prairie Dr Ste 302
Prosper, TX 75078-3819
Phone (469) 262-2065

Other names 1

  • Obianamma Ifemesia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110523000755 NY Practitioner - Nurse Practitioner 9537345764
I20150505000954 TX Practitioner - Nurse Practitioner 9537345764 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123918TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Sep 27, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Sep 27, 2017 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vitas Health Services of Texas, P.a. CurrentSince Dec 21, 2020 Accepting new patients

Locations

14651 Dallas Pkwy
Ste 811
Dallas, TX 75254

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: obianamma.ozuah@txzmpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHAFCD/Endpoint/JHAFCD

Organizations & group practices 4

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1407182983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 PRAIRIE DR STE 302",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783819",
            "telephone_number": "469-262-2065",
            "fax_number": "469-694-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PRAIRIE DR STE 302",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783819",
            "telephone_number": "469-262-2065",
            "fax_number": "469-694-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZUAH",
        "first_name": "OBIANAMMA",
        "middle_name": "N",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304369",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "123918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OBIANAMMA",
            "last_name": "IFEMESIA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.