Individual provider Active NPI

Friday Chidozie Nwabuisi

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodway, TX
National Provider Identifier
1831807734
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1098616 Issued in TX
Practice address
6412 Crystal CT
Woodway, TX 76712-6969
Phone
(972) 357-5763
NPI assigned
Nov 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 1098616 TX Primary

Addresses

Primary practice location

6412 Crystal CT
Woodway, TX 76712-6969

Mailing address

6412 Crystal CT
Woodway, TX 76712-6969
Phone (972) 357-5763

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
I20230327002499 TX Practitioner - Nurse Practitioner 1557735966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.2 of 100Reported as group
Quality
100
Improvement activities
40
Cost
60.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Psychiatry Healthcare PA CurrentSince Sep 1, 2023 Accepting new patients
Opgt Inc CurrentSince Feb 28, 2023 Accepting new patients

Locations

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

2437 Bay Area Blvd
Houston, TX 77058
Phone (281) 944-4701

3300 S FM 1788
Midland, TX 79706
Phone (432) 561-5915

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

12234 Shadow Creek Pkwy
Bldg 4
Pearland, TX 77584
Phone (281) 668-8822

5931 Crosslake Pkwy
Waco, TX 76712
Phone (254) 279-6199

Organizations & group practices 2

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1831807734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 CRYSTAL CT",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126969",
            "telephone_number": "972-357-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 CRYSTAL CT",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126969",
            "telephone_number": "972-357-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWABUISI",
        "first_name": "FRIDAY",
        "middle_name": "CHIDOZIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1098616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

Verify at the official NPI Registry.