Gwendoline Nfotiog

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141636 Issued in TX

Practice address

2870 Eastminster Dr
Prosper, TX 75078-1436

Phone

(702) 490-7531

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CO, WA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CO, Psychiatric/Mental Health, TX, WA

  Medicare reassignment NPD
• Hopeful Minds Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Richardson, TX
  • NPI 1063225027
  NPD Authorized official
• Pacesetters Home Health LLC

  • Home Health Agency
  • North Richland Hills, TX
  • NPI 1396364600
  NPD

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1497398325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 EASTMINSTER DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781436",
            "telephone_number": "702-490-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 EASTMINSTER DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781436",
            "telephone_number": "702-490-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NFOTIOG",
        "first_name": "GWENDOLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141636",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zolal Nekzad
• Elizabeth Nellamattathil, PHD, LCPC
• Allison Nelson
• Nephronlife Dialysis LLC
• Eric Nezerwa, MD
• Solange V Ngundu
• Anthony Toan Ba Nguyen, DO
• Dai Nguyen, MD
• Emily Nguyen
• Joleyne Nguyen

• Family Nurse Practitioner in Prosper, TX
• Providers in Prosper, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.