Pauline Chidiebere Odili

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP129325 Issued in TX

Practice address

8406 Spotslyvania LN
Houston, TX 77083-6434

Phone

(832) 495-3006

NPI assigned

Oct 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Texas Addiction Treatment Center PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Richmond, TX
  • NPI 1851861868

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1446249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1669845517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 SPOTSLYVANIA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836434",
            "telephone_number": "832-495-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 SPOTSLYVANIA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836434",
            "telephone_number": "832-495-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODILI",
        "first_name": "PAULINE",
        "middle_name": "CHIDIEBERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-31",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP129325",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anil Odhav, M.D.
• Jill Genise Odia, PHARM. D.
• Oluwatosin Odia, CRNA
• Patrick Odia, MD
• Ebelechukwu Odiari, M.D.
• Wendy Odili
• Mishael Odimegwu
• Ndubuisi David Odimegwu, AGNP-C
• Odinakachukwu Agu
• Emmanuel Odinigwe

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.