Amazilo M Egbo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1090340 Issued in TX

Practice address

2800 S Macgregor Way
Houston, TX 77021-1032

Phone

(713) 741-5050

NPI assigned

Sep 9, 2022

Last updated

Sep 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ama M Egbo Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Psychiatry Institute, LLCGroup PAC ID 8325287501, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

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.

• United Psychiatry Institute, LLC

  • Child & Adolescent Psychiatry Physician
  • Houston, TX
  • NPI 1689913279
  Medicare reassignment Care Compare group
• Divine Trinity Behavioral Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1164342093
  Authorized official Same address or phone
• Texas Behavioral Health PLLC

  • Psychiatry Physician
  • Pearland, TX
  • NPI 1881044337
  NPD
• Proactive Minds, PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellaire, TX
  • NPI 1902581911
  NPD (past)

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1538880349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S MACGREGOR WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211032",
            "telephone_number": "713-702-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S MACGREGOR WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211032",
            "telephone_number": "713-741-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBO",
        "first_name": "AMAZILO",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1090340",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HCPC",
            "affiliation": "N",
            "endpointDescription": "Psychiatric",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2800 S MacGregor Way",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770211032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMA",
            "last_name": "EGBO",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Egbe, DO
• Ndipetta Sylvia Egbe
• Anthonia O Egbedeju, FNP
• Bradley Egbers, MD
• Diweni Egbide
• Irene Egbon
• Kenya Egbonwonu, RN
• Fortunate Egbuchere, NP
• Vincent Chijioke Egbuchulam
• Ikechukwu N Egbukwu

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.