Individual provider Active NPI

Benedicta Ayidiya, RN

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1538860630
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
932071 Issued in TX
Practice address
1120 Nasa Pkwy Ste 620
Houston, TX 77058-2818
Phone
(346) 531-9445
Fax
(346) 358-0252
NPI assigned
Mar 15, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 932071 TX Primary

Addresses

Primary practice location

1120 Nasa Pkwy Ste 620
Houston, TX 77058-2818

Mailing address

1120 Nasa Pkwy Ste 620
Houston, TX 77058-2818
Phone (346) 531-9445

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
932071TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mik-Ben Helping Hands LLC CurrentSince Mar 19, 2023 Accepting new patients

Locations

1120 Nasa Pkwy
Ste 620
Houston, TX 77058
Phone (314) 696-3629

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1538860630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NASA PKWY STE 620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582818",
            "telephone_number": "346-531-9445",
            "fax_number": "346-358-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NASA PKWY STE 620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582818",
            "telephone_number": "346-531-9445",
            "fax_number": "346-358-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYIDIYA",
        "first_name": "BENEDICTA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "932071",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 15, 2023; 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.