Active NPI
Fidelis Ubong Ibe, PMHNP
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1780548529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1129412
- Practice address
- 4801 Woodway Dr Ste 306W
Houston, TX 77056-1828 - Phone
- (832) 225-3345
- Fax
- (713) 583-1504
- NPI assigned
- Dec 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1129412 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1129412 | TX | Primary |
Addresses
Primary practice location
4801 Woodway Dr Ste 306W
Houston, TX 77056-1828
Mailing address
4801 Woodway Dr Ste 306W
Houston, TX 77056-1828
Phone (832) 225-3345
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1129412 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1780548529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 WOODWAY DR STE 306W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770561828",
"telephone_number": "832-225-3345",
"fax_number": "713-583-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 WOODWAY DR STE 306W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770561828",
"telephone_number": "832-225-3345",
"fax_number": "713-583-1504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBE",
"first_name": "FIDELIS",
"middle_name": "UBONG",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-15",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1129412",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1129412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.