Alice Ita Udeobong

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

011219 Issued in TX

Practice address

7402 Pavilion Dr
Houston, TX 77083-6927

Phone

(832) 886-4539

Fax

(832) 886-4690

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3522/brand/1/csg/21/fhir/r4

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.

• Midland Health Care Services,Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1194917260
  NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1700966579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 PAVILION DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836927",
            "telephone_number": "832-886-4539",
            "fax_number": "832-886-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 PAVILION DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836927",
            "telephone_number": "832-886-4539",
            "fax_number": "832-886-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEOBONG",
        "first_name": "ALICE",
        "middle_name": "ITA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "9809",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "011219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHES",
            "identifier": "9809",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Emeka Udeh
• Brittney Udell
• Celestina Ebele Udemgba, DNP
• Reginald Cheta Udemgba
• Jewel Nneka Udenwagu, MD
• Jennifer Erinma Udeogu, MD
• Krystle Ego Udezue, DDS
• Uchenna Udobi, MS, CCC-SLP
• Veronica Udobong
• Joshua Desmond Udoetuk, MD

• Home Health Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.