Individual provider Active NPI

Bibiana Chinelo Nwora, DNP, FNP-BC

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1407572654
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1095295 Issued in TX
Practice address
12630 Banchory Leaf Dr
Humble, TX 77346-4913
Phone
(832) 286-8462
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 1095295 TX Primary

Addresses

Primary practice location

12630 Banchory Leaf Dr
Humble, TX 77346-4913

Mailing address

12630 Banchory Leaf Dr
Humble, TX 77346-4913
Phone (832) 286-8462

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
I20231221000329 TX Practitioner - Nurse Practitioner 7113377821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of HoustonGroup PAC ID 0244281376, 2 clinicians

Practice addresses (Care Compare)

4410 Reed Rd
Houston, TX 77051-2718
Phone (832) 393-5427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1095295TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Houston CurrentSince Aug 4, 2023 Accepting new patients
City of Houston CurrentSince Aug 4, 2023 Accepting new patients
City of Houston Current Accepting new patients

Locations

8000 N Stadium Dr
Fl 6
Houston, TX 77054
Phone (713) 794-9263

8000 N Stadium Dr
Fl 7
Houston, TX 77054
Phone (713) 794-9104

1809 N Main St
Houston, TX 77009
Phone (713) 547-8076

4410 Reed Rd
Houston, TX 77051
Phone (832) 395-0069

Organizations & group practices 3

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1407572654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 BANCHORY LEAF DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464913",
            "telephone_number": "832-286-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 BANCHORY LEAF DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464913",
            "telephone_number": "832-286-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWORA",
        "first_name": "BIBIANA",
        "middle_name": "CHINELO",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.