Individual provider Active NPI

Kebba Lobba, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1811656887
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
807369 Issued in TX
Practice address
2920 Shadowbriar Dr Apt 117
Houston, TX 77082-8319
Phone
(832) 888-2789
NPI assigned
Dec 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 807369 TX Primary

Addresses

Primary practice location

2920 Shadowbriar Dr Apt 117
Houston, TX 77082-8319

Mailing address

2920 Shadowbriar Dr Apt 117
Houston, TX 77082-8319
Phone (832) 888-2789

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
I20230302002175 TX Practitioner - Nurse Practitioner 5496128944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aqeel Hashmi MD PAGroup PAC ID 0244452969, 5 clinicians

Practice addresses (Care Compare)

7103 S Peek Rd
Suite 100
Richmond, TX 77407-3499
Phone (832) 390-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
807369TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aqeel Hashmi MD PA CurrentSince Dec 5, 2023 Accepting new patients

Locations

6902 S Peek Rd
Richmond, TX 77407
Phone (832) 390-0900

7103 S Peek Rd
Ste 100
Richmond, TX 77407
Phone (832) 390-0900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1811656887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SHADOWBRIAR DR APT 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770828319",
            "telephone_number": "832-888-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SHADOWBRIAR DR APT 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770828319",
            "telephone_number": "832-888-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBBA",
        "first_name": "KEBBA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "807369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.