Individual provider Active NPI

Edith Declan, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1831672971
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046603 Issued in TX
Practice address
9888 Bissonnet St Ste 500
Houston, TX 77036-8296
Phone
(713) 909-6541
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 1046603 TX Primary

Addresses

Primary practice location

9888 Bissonnet St Ste 500
Houston, TX 77036-8296

Mailing address

826 La Hacienda Dr
Richmond, TX 77406-2859

Other practice location 1

826 La Hacienda Dr
Richmond, TX 77406-2859
Phone (713) 909-6541

Other names 1

  • Edth Nkem Nwobodo Former name

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
I20260202003578 TX Practitioner - Nurse Practitioner 3072091842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2006 Wayne Memorial Dr
Goldsboro, NC 27534-1720

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

826 La Hacienda Dr
Richmond, TX 77406-2859

862 La Hacienda Dr
Richmond, TX 77406-2859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1046603TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heals on Wheels Mobile Healthcare PLLC Family Medicine CurrentSince Jan 24, 2026 Accepting new patients
Francis Health LLC Family CurrentSince Dec 23, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 10, 2026 Accepting new patients

Locations

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

Organizations & group practices 3

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1831672971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 LA HACIENDA DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368296",
            "telephone_number": "713-909-6541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 La Hacienda Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774062859",
            "country_code": "US",
            "telephone_number": "713-909-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECLAN",
        "first_name": "EDITH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDTH",
            "last_name": "NWOBODO",
            "middle_name": "NKEM",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.