Christiana O Mobolade, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10190684 Issued in TX

Practice address

12015 Louetta Rd Ste 200
Houston, TX 77070-1148

Phone

(281) 370-7272

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1730798653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 MISTING FALLS LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 LOUETTA RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701148",
            "telephone_number": "281-370-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBOLADE",
        "first_name": "CHRISTIANA",
        "middle_name": "O",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F10190684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "F10190684",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "e-clinical",
            "affiliation": "N",
            "address_1": "12015 Louetta Rd Ste 200",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770701148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mobitz Heart and Rhythm Center PLLC
• Mobius Dental Services PLLC
• Cadeidre Mobley
• Constance Marie Mobley, M.D., PHD
• David F Mobley, M.D.
• Raman Mocharla, MD
• Bhavana Yerabati Mocherla, MD
• Satish M Mocherla, MD
• Akihiro Mochizuki
• Casondra K Mock, RN

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.