Phanuel Omoro

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

930192 Issued in TX

Practice address

11910 Thoroughbred Dr Apt 1106
Houston, TX 77065-5406

Phone

(832) 267-1328

NPI assigned

Feb 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brightstar Care LLC

  • Home Health Agency
  • Katy, TX
  • NPI 1710693841
  NPD Authorized official

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790285799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 THOROUGHBRED DR APT 1106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 THOROUGHBRED DR APT 1106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655406",
            "telephone_number": "832-267-1328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Fm 2628 Rd",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773201215",
            "country_code": "US",
            "telephone_number": "936-439-6496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMORO",
        "first_name": "PHANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "930192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harriet Munai Omondi
• Peter Omoni, CRNA
• Dayo Omoniyi
• Lovely E. Omoregbe, APRN
• Rose Omorigie Davies
• Emma Omoruyi, MD
• Francisca Omoruyi
• Babajide Omotayo
• Temiloluwa Omotayo, M.S. CCC-SLP
• Adetola Omotoso, RN,BSN

• Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.