Active NPI
Innocent Obeta
- Registered Nurse
- Richmond, TX
National Provider Identifier
1659930899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 787427
- Practice address
- 5411 Gemstone Park Rd
Richmond, TX 77407-4161 - Phone
- (832) 533-6047
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 787427 | TX | Primary |
Addresses
Primary practice location
5411 Gemstone Park Rd
Richmond, TX 77407-4161
Mailing address
5411 Gemstone Park Rd
Richmond, TX 77407-4161
Phone (832) 533-6047
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
| License | State | Type | Specialty |
|---|---|---|---|
| 787427 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom Healthcare, Inc. | Current | 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 and National Provider Directory roles.
-
- Home Health Agency
- Houston, TX
- NPI 1013224682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1659930899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 GEMSTONE PARK RD",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774074161",
"telephone_number": "832-533-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 GEMSTONE PARK RD",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774074161",
"telephone_number": "832-533-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBETA",
"first_name": "INNOCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "787427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.