Elizabeth Funmilayo Igharoro

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1110871 Issued in TX

Practice address

2487 E 11TH St
Odessa, TX 79761-4232

Phone

(432) 332-1386

Fax

(432) 614-6272

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Scotty Ortega MD LLP

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1194015297
  Medicare reassignment NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1457056269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 BAYBROOK DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797071433",
            "telephone_number": "575-605-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 E 11TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614232",
            "telephone_number": "432-332-1386",
            "fax_number": "432-614-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGHARORO",
        "first_name": "ELIZABETH",
        "middle_name": "FUNMILAYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1110871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylie Marie Hurt, D.C.
• Janice Lee Hurt, LPC-S
• Karrar Husain, MD
• Kathryn Nichole Hutton, DO
• Hyetae Kim, MD, PA
• Stephanie Ochuko Igharoro
• Andrea Ihegword
• Timothy Oseaga Ihongbe, MD, MPH, PHD
• Ashley Ikwuezunma
• Kubra Ilyas

• Gerontology Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.