Individual provider Active NPI

Patricia Obulaney, RN, ANP

  • Family Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1437453172
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
552665 Issued in TX
Practice address
4775 W Panther Creek Dr
Suite 345
The Woodlands, TX 77381-3592
Phone
(281) 292-1192
Fax
(281) 367-0396
NPI assigned
Jan 10, 2011
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 552665 TX Primary

Addresses

Primary practice location

4775 W Panther Creek Dr
Suite 345
The Woodlands, TX 77381-3592

Mailing address

4775 W Panther Creek Dr
Suite 345
The Woodlands, TX 77381-3592
Phone (281) 292-1192

Other identifiers 1

IdentifierTypeStateIssuer
60169288OtherDPS

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
552665TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: patricia.obulaney.3@15235.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437453172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 W PANTHER CREEK DR",
            "address_2": "SUITE 345",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813592",
            "telephone_number": "281-292-1192",
            "fax_number": "281-367-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 W PANTHER CREEK DR",
            "address_2": "SUITE 345",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813592",
            "telephone_number": "281-292-1192",
            "fax_number": "281-367-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBULANEY",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "RN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "552665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "60169288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.