Stellamaris Irabor, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

756566 Issued in TX

Practice address

201 Oak Dr S
Suite 102
Lake Jackson, TX 77566-5676

Phone

(979) 266-9776

Fax

(979) 529-2952

NPI assigned

Nov 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1384041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445731200000",
    "number": "1699104661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "SUITE 102",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665676",
            "telephone_number": "979-266-9776",
            "fax_number": "979-529-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "SUITE 102",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665676",
            "telephone_number": "979-266-9776",
            "fax_number": "979-529-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRABOR",
        "first_name": "STELLAMARIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-10",
        "last_updated": "2015-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "756566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu Eun Hwang
• Infinitie Health LLC
• Intentional Actions a Behavior Analytic Approach LLC (Intentional Actions ABA)
• Iph Health Care Services, Inc. (Iph Home Health)
• Iph Hospice Care Inc
• Iso-3, L.L.C.
• Kristin Bravenec Jackson, FNP
• William Jackson Jr., O.D.
• Rakesh Jain, MD
• Saundra L Jain, PSYD, LPC

• Family Nurse Practitioner in Lake Jackson, TX
• Providers in Lake Jackson, 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 Oct 25, 2015; 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.