Individual provider Active NPI

Cynthia O Obiofuma

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1750066817
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048844 Issued in TX
Practice address
333 West Loop N Ste 250
Houston, TX 77024-1751
Phone
(713) 690-1991
Fax
(713) 690-1980
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1048844 TX
Family Nurse Practitioner 363LF0000X 1048844 TX Primary

Addresses

Primary practice location

333 West Loop N Ste 250
Houston, TX 77024-1751

Mailing address

5634 James Landing Dr
Sugar Land, TX 77479-7073
Phone (405) 317-2255

Other practice location 1

5634 James Landing Dr
Sugar Land, TX 77479-7073
Phone (405) 317-2255

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
I20240223000189 TX Practitioner - Nurse Practitioner 1951745405 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1048844TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Restore Medical Group PLLC Family CurrentSince Dec 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 3, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 3, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 3, 2024 Accepting new patients
Ruan Medical Group Nurse Practitioner CurrentSince Feb 3, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

333 West Loop N
Ste 250
Houston, TX 77024
Phone (713) 690-1991

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1750066817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 JAMES LANDING DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797073",
            "telephone_number": "405-317-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WEST LOOP N STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241751",
            "telephone_number": "713-690-1991",
            "fax_number": "713-690-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5634 James Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774797073",
            "country_code": "US",
            "telephone_number": "405-317-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIOFUMA",
        "first_name": "CYNTHIA",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1048844",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.