Individual provider Active NPI

Clara Binta Ike, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1699278960
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09201262 Issued in TX
Practice address
3850 Sapp Rd
Conroe, TX 77304-4744
Phone
(832) 656-6790
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 557634 TX
Family Nurse Practitioner 363LF0000X F09201262 TX Primary

Addresses

Primary practice location

3850 Sapp Rd
Conroe, TX 77304-4744

Mailing address

3850 Sapp Rd
Conroe, TX 77304-4744
Phone (832) 656-6790

Other practice location 1

2257 N Loop 336 W Ste 140-246
Conroe, TX 77304-3566
Phone (832) 656-6790

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
I20260108004194 TX Practitioner - Nurse Practitioner 3577738558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2757 N Loop 336
Suite 140 246
Conroe, TX 77304-3566

3850 Sapp Rd
Conroe, TX 77304-4744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
557634TXMDRegistered Nurse
F09201262TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Vital CurrentSince Nov 5, 2025 Accepting new patients

Locations

2757 N Loop 336 W
Ste 140 246
Conroe, TX 77304

2257 N Loop 336 W
Ste 140246
Conroe, TX 77304
Phone (832) 656-6790

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1699278960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SAPP RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044744",
            "telephone_number": "832-656-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SAPP RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044744",
            "telephone_number": "832-656-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 N Loop 336 W Ste 140-246",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773043566",
            "country_code": "US",
            "telephone_number": "832-656-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKE",
        "first_name": "CLARA",
        "middle_name": "BINTA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "557634",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F09201262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.