Individual provider Active NPI

Kariri Obonyo, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1699137133
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130628 Issued in TX
Practice address
14622 Roaring Fork LN
Houston, TX 77095-5244
Phone
(832) 794-3659
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130628 TX Primary

Addresses

Primary practice location

14622 Roaring Fork LN
Houston, TX 77095-5244

Mailing address

14622 Roaring Fork LN
Houston, TX 77095-5244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525000396 TX Practitioner - Nurse Practitioner 1850563735 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians

Practice addresses (Care Compare)

2626 S Loop W
Suite 265
Houston, TX 77054-5636
Phone (713) 796-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trumen Physicians and Associates PLLC Family CurrentSince Feb 17, 2018 Accepting new patients
Home Visiting Doctors Management LLC CurrentSince Apr 1, 2016 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 2, 2018 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 2, 2018 Accepting new patients
American Visiting Doctors LLC CurrentSince Apr 1, 2016 Accepting new patients
Healthcare Liaison Services, LLC CurrentSince Apr 1, 2016 Accepting new patients
Horizon Psychiatric Services PLLC PastSince Dec 16, 2024 Accepting new patients

Locations

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

2626 S Loop W
Ste 265
Houston, TX 77054
Phone (713) 796-9955

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 8

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1699137133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 ROARING FORK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14622 ROARING FORK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955244",
            "telephone_number": "832-794-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBONYO",
        "first_name": "KARIRI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.