Individual provider Active NPI

Stella U Adimibe

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1730988478
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1192453 Issued in TX
Practice address
10022 Halston Dr
Sugar Land, TX 77498-2781
Phone
(832) 620-7018
Fax
(832) 620-7015
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1192453 TX Primary

Addresses

Primary practice location

10022 Halston Dr
Sugar Land, TX 77498-2781

Mailing address

10022 Halston Dr
Sugar Land, TX 77498-2781
Phone (832) 620-7018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1192453TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1730988478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10022 HALSTON DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982781",
            "telephone_number": "832-620-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 HALSTON DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982781",
            "telephone_number": "832-620-7018",
            "fax_number": "832-620-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIMIBE",
        "first_name": "STELLA",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1192453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.