Individual provider Active NPI

Ndi Esiere

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosenberg, TX
National Provider Identifier
1558826636
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP140176 Issued in TX
Practice address
1011 Mysterium LN
Rosenberg, TX 77469-2057
Phone
(832) 836-0275
NPI assigned
Feb 4, 2019
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140176 TX
Community Health Nurse Practitioner 363LC1500X AP140176 TX
Family Nurse Practitioner 363LF0000X AP140176 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP140176 TX Primary
Primary Care Nurse Practitioner 363LP2300X AP140176 TX
Home Health Clinical Nurse Specialist 364SH0200X AP140176 TX
Registered Nurse 163W00000X 811371 TX
General Practice Registered Nurse 163WG0000X 811371 TX
Family Medicine Physician 207Q00000X AP140176 TX
General Practice Physician 208D00000X AP140176 TX

Addresses

Primary practice location

1011 Mysterium LN
Rosenberg, TX 77469-2057

Mailing address

1011 Mysterium LN
Rosenberg, TX 77469-2057
Phone (832) 836-0275

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
I20210510000452 TX Practitioner - Nurse Practitioner 2961811617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4001 Hwy 36 S
Brenham, TX 77833-9610
Phone (979) 277-1327

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
811371TXMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission General Practice CurrentSince Feb 16, 2023 Accepting new patients
Health and Human Services Commission General Practice Current Accepting new patients
Diversity Healthcare Services Inc. Family CurrentSince May 21, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince May 1, 2021 Accepting new patients
Brazos Hybrid Pharmacy LLC CurrentSince Apr 16, 2021 Accepting new patients
Vpa of Texas PLLC Family Medicine Current Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince May 1, 2021 Accepting new patients
Health and Human Services Commission CurrentSince Feb 16, 2023 Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince May 1, 2021 Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

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

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

545 Minonite Rd
Ste 110
Rosenberg, TX 77469
Phone (832) 930-8399

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1558826636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MYSTERIUM LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774692057",
            "telephone_number": "832-836-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MYSTERIUM LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774692057",
            "telephone_number": "832-836-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESIERE",
        "first_name": "NDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140176",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "TX",
            "license": "AP140176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140176",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP140176",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP140176",
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "TX",
            "license": "AP140176",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "811371",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "811371",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP140176",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "AP140176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.