Individual provider Active NPI

Kimberly Ada Onuegbu Onyia, SLP, ASSISTANT

  • Hearing and Speech Clinic/Center
  • Houston, TX
National Provider Identifier
1447819776
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
39902 Issued in TX
Practice address
6406 Dryad Dr
Houston, TX 77035-4020
Phone
(832) 472-4976
NPI assigned
Jun 11, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 39902 TX Primary

Addresses

Primary practice location

6406 Dryad Dr
Houston, TX 77035-4020

Mailing address

6406 Dryad Dr
Houston, TX 77035-4020
Phone (832) 472-4976

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://secure.clinicsource.com/ClinicPortal/login.aspx

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
39902TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1447819776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 DRYAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770354020",
            "telephone_number": "832-472-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 DRYAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770354020",
            "telephone_number": "832-472-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYIA",
        "first_name": "KIMBERLY",
        "middle_name": "ADA ONUEGBU",
        "credential": "SLP, ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TX",
            "license": "39902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.clinicsource.com/ClinicPortal/login.aspx",
            "affiliation": "N",
            "endpointDescription": "Clinic Source",
            "address_1": "6406 Dryad Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770354020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.