Individual provider Active NPI

Bosede Ehiobu, FNP-BC

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1528527397
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141050 Issued in TX
Practice address
1110 Cottonwood LN Ste 160
Irving, TX 75038-6117
Phone
(469) 923-5870
Fax
(469) 923-5880
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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 AP141050 TX Primary

Addresses

Primary practice location

1110 Cottonwood LN Ste 160
Irving, TX 75038-6117

Mailing address

1110 Cottonwood LN Ste 160
Irving, TX 75038-6117
Phone (469) 923-5870

Other identifiers 1

IdentifierTypeStateIssuer
AP141050OtherTXLICENSE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210505000077 TX Practitioner - Nurse Practitioner 4183033145 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triple G Healthplus Services LLC Family CurrentSince Feb 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2912 N MacArthur Blvd
Ste 106
Irving, TX 75062
Phone (214) 489-5722

1110 Cottonwood Ln
Ste 160
Irving, TX 75038
Phone (469) 923-5270

2912 N MacArthur Blvd
Ste 104
Irving, TX 75062
Phone (469) 923-5870

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 5

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1528527397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 160",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "469-923-5870",
            "fax_number": "469-923-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 160",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "469-923-5870",
            "fax_number": "469-923-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHIOBU",
        "first_name": "BOSEDE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AP141050",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.