Individual provider Active NPI

Furo Uba Fabunmi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1730719014
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP144328 Issued in TX
Practice address
1219 Orange Pumpkin LN
Richmond, TX 77406-1771
Phone
(832) 388-0065
NPI assigned
Jan 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X AP144328 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP144328 TX Primary

Addresses

Primary practice location

1219 Orange Pumpkin LN
Richmond, TX 77406-1771

Mailing address

1219 Orange Pumpkin LN
Richmond, TX 77406-1771
Phone (832) 388-0065

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
I20210520001580 TX Practitioner - Nurse Practitioner 7315346541 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Pac Healthcare Services of Texas PLLCGroup PAC ID 1759676307, 42 clinicians
CS Pacs 3 Southwest, LLCGroup PAC ID 1254879620, 23 clinicians

Practice addresses (Care Compare)

1400 N Main St
Giddings, TX 78942-1360
Phone (979) 542-1755

310 E Lawrence St
Dayton, TX 77535-1805
Phone (936) 258-7227

999 Raintree Cir
Allen, TX 75013-4947
Phone (972) 390-8088

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP144328TXMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince May 17, 2021 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Sep 21, 2022 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Sep 9, 2024 Accepting new patients
Cardinale Health Solutions Inc Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities CurrentSince Oct 20, 2024 Accepting new patients
Thrive Bridge Behaviorial Health Inc Psychiatric/Mental Health CurrentSince Mar 3, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 17, 2021 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

310 E Lawrence St
Dayton, TX 77535
Phone (936) 258-7227

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

7622 Branford Pl
Sugar Land, TX 77479
Phone (281) 329-4300

77 Sugar Creek Center Blvd
Ste 600
Sugar Land, TX 77478
Phone (281) 872-6455

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 6

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": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1730719014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 ORANGE PUMPKIN LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061771",
            "telephone_number": "832-388-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 ORANGE PUMPKIN LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061771",
            "telephone_number": "832-388-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABUNMI",
        "first_name": "FURO",
        "middle_name": "UBA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "AP144328",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.