Individual provider Active NPI

Bessem Ebai

  • Licensed Vocational Nurse
  • Sugar Land, TX
National Provider Identifier
1609354026
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
334766 Issued in TX
Practice address
11929 University Blvd Ste 2M
Sugar Land, TX 77479-4757
Phone
(281) 238-8775
NPI assigned
Jul 30, 2018
Last updated
Jul 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 334766 TX Primary

Addresses

Primary practice location

11929 University Blvd Ste 2M
Sugar Land, TX 77479-4757

Mailing address

12538 N Ashford Villa LN
Houston, TX 77082-5406
Phone (832) 267-7263

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

State licenses

LicenseStateTypeSpecialty
334766TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Home Health Holdings, LLC Past Accepting new patients

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1609354026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12538 N ASHFORD VILLA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825406",
            "telephone_number": "832-267-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 UNIVERSITY BLVD STE 2M",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794757",
            "telephone_number": "281-238-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBAI",
        "first_name": "BESSEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "334766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.