Individual provider Active NPI

Angela Nwaka

  • Personal Care Attendant
  • Houston, TX
National Provider Identifier
1467638775
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
010426 Issued in TX
Practice address
2950 S Gessner Rd Ste 230
Houston, TX 77063
Phone
(713) 333-3609
Fax
(713) 333-6091
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 010426 TX
Personal Care Attendant 3747P1801X 010426 TX Primary

Addresses

Primary practice location

2950 S Gessner Rd Ste 230
Houston, TX 77063

Mailing address

2950 S Gessner Rd Ste 230
Houston, TX 77063-3771
Phone (713) 333-3609

Other practice location 1

9950 Westpark Dr
suite 328
Houston, TX 77063-5138
Phone (713) 789-2424

Other practice location 2

9950 Westpark Dr
suite 328
Houston, TX 77063-5138
Phone (713) 789-2424

Other identifiers 1

IdentifierTypeStateIssuer
010426MedicaidTX

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
010426TXMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Gablink Inc Personal Care Attendant CurrentSince Feb 1, 2021 Accepting new patients
Gablink Inc Personal Care Attendant Current Accepting new patients

Locations

2950 S Gessner Rd
Ste 230
Houston, TX 77063
Phone (713) 333-3609

Organizations & group practices 2

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1467638775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S GESSNER RD STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633771",
            "telephone_number": "713-333-3609",
            "fax_number": "713-333-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S GESSNER RD STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77063",
            "telephone_number": "713-333-3609",
            "fax_number": "713-333-6091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9950 Westpark Dr",
            "address_2": "suite 328",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770635138",
            "country_code": "US",
            "telephone_number": "713-789-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 Westpark Dr",
            "address_2": "suite 328",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770635138",
            "country_code": "US",
            "telephone_number": "713-789-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAKA",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "010426",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "010426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 Jan 31, 2020; 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.