Individual provider Active NPI

Chidi Obi

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1710524392
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030800 Issued in TX
Practice address
9207 Country Creek Dr Ste 105
Houston, TX 77036-7745
Phone
(281) 888-9458
NPI assigned
Dec 3, 2019
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1030800 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1030800 TX
Registered Nurse 163W00000X 682547 TX

Addresses

Primary practice location

9207 Country Creek Dr Ste 105
Houston, TX 77036-7745

Mailing address

9207 Country Creek Dr Ste 105
Houston, TX 77036-7745
Phone (281) 250-2134

Other practice location 1

1155 Dairy Ashford Rd Ste 560
Houston, TX 77079-3035
Phone (281) 250-2134

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
I20251113001284 TX Practitioner - Nurse Practitioner 5991296360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10503 Rockley Rd
Suite 100
Houston, TX 77099-3551

10806 Primrose Acres LN
Houston, TX 77031-2748

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
682547TXMDRegistered Nurse
1030800TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Psychiatry PLLC CurrentSince Aug 31, 2025 Accepting new patients
Clover Family Clinic Current Accepting new patients

Locations

10503 Rockley Rd
Ste 100
Houston, TX 77099
Phone (281) 498-1554

9207 Country Creek Dr
Ste 105
Houston, TX 77036
Phone (281) 747-9669

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1710524392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 COUNTRY CREEK DR STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367745",
            "telephone_number": "281-250-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9207 COUNTRY CREEK DR STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367745",
            "telephone_number": "281-888-9458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Dairy Ashford Rd Ste 560",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770793035",
            "country_code": "US",
            "telephone_number": "281-250-2134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBI",
        "first_name": "CHIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030800",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1030800",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "682547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.