Individual provider Active NPI

Joan Obomese

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1740741933
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139769 Issued in TX
Practice address
25110 Grogans Mill Rd
Spring, TX 77380-2248
Phone
(866) 389-2827
NPI assigned
Mar 29, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139769 TX Primary

Addresses

Primary practice location

25110 Grogans Mill Rd
Spring, TX 77380-2248

Mailing address

25110 Grogans Mill Rd
Spring, TX 77380-2248
Phone (866) 389-2827

Other practice location 1

19511 Shelby Ridge Ln
Houston, TX 77073-1292
Phone (713) 446-7715

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
I20190709000082 TX Practitioner - Nurse Practitioner 9335474782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

2707 Milam St
Houston, TX 77006-3544
Phone (832) 632-7135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139769TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Carenow Urgent Care PLLC CurrentSince Jul 11, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2707 Milam St
Houston, TX 77006
Phone (832) 632-7135

300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445

10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936

Organizations & group practices 1

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1740741933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25110 GROGANS MILL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802248",
            "telephone_number": "866-389-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25110 GROGANS MILL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802248",
            "telephone_number": "866-389-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19511 Shelby Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770731292",
            "country_code": "US",
            "telephone_number": "713-446-7715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBOMESE",
        "first_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.