Individual provider Active NPI

Ngozi Josephine Mbagwu

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1760013924
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
144445 Issued in TX
Practice address
2123 Laurel Creek Dr
Houston, TX 77014-2468
Phone
(832) 982-4495
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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 144445 TX Primary

Addresses

Primary practice location

2123 Laurel Creek Dr
Houston, TX 77014-2468

Mailing address

2123 Laurel Creek Dr
Houston, TX 77014-2468
Phone (832) 982-4495

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Houston Health Information Exchange (HIE)

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
144445TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1760013924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 LAUREL CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142468",
            "telephone_number": "832-982-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 LAUREL CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142468",
            "telephone_number": "832-982-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAGWU",
        "first_name": "NGOZI",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "144445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2123 Laurel Creek Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770142468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

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