Active NPI
Ifeyinwa Peggy Eribenne, DNP
- Family Nurse Practitioner
- Katy, TX
National Provider Identifier
1609490168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95014819
- Practice address
- 3822 Colorado Bend Dr
Katy, TX 77494-5466 - Phone
- (919) 995-5789
- NPI assigned
- Jun 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142057 | TX | |
| Family Nurse Practitioner | 363LF0000X | NP95014819 | CA | Primary |
Addresses
Primary practice location
3822 Colorado Bend Dr
Katy, TX 77494-5466
Mailing address
3822 Colorado Bend Dr
Katy, TX 77494-5466
Phone (919) 995-5789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of the Incarnate Word School of Osteo Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9304 Forest LN
Suite S145
Dallas, TX 75243-6238
Phone (469) 809-4979
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142057 | TX | MD | Family Nurse Practitioner |
Organizations & group practices 2
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.
-
- Clinic/Center
- Dallas, TX
- NPI 1124995279
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1003527185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1609490168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3822 COLORADO BEND DR",
"city": "KATY",
"state": "TX",
"postal_code": "774945466",
"telephone_number": "919-995-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3822 COLORADO BEND DR",
"city": "KATY",
"state": "TX",
"postal_code": "774945466",
"telephone_number": "919-995-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERIBENNE",
"first_name": "IFEYINWA",
"middle_name": "PEGGY",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142057",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95014819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.