Individual provider Active NPI

Amauche Obi-Eyisi

  • Women's Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1669082509
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
832 Issued in CT
Practice address
5900 Balcones Dr Ste 19443
Austin, TX 78731-4257
Phone
(469) 903-4235
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 832 CT Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 19443
Austin, TX 78731-4257

Mailing address

4026 Dell LN
Missouri City, TX 77459-6610
Phone (347) 575-3678

Other practice location 1

24 Hospital Ave
Danbury, CT 06810-6077
Phone (203) 739-6231

Other practice location 2

3730 Dry Creek Dr
Missouri City, TX 77459-1753
Phone (469) 903-4235

Other practice location 3

969 West Main Street
Waterbury, CT 06708-2666
Phone (203) 753-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
832CTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Southern New England, Inc. CurrentSince Aug 1, 2020 Accepting new patients
McAngel Home Visiting Nurses LLC Current Accepting new patients

Locations

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

969 W Main St
Waterbury, CT 06708
Phone (203) 206-2124

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.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669082509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 DELL LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596610",
            "telephone_number": "347-575-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 19443",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "469-903-4235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106077",
            "country_code": "US",
            "telephone_number": "203-739-6231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3730 Dry Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774591753",
            "country_code": "US",
            "telephone_number": "469-903-4235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "969 West Main Street",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082666",
            "country_code": "US",
            "telephone_number": "203-753-2119",
            "fax_number": "203-907-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBI-EYISI",
        "first_name": "AMAUCHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-09-11",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.