Cornelia Abanobi, NP
Individual provider Active NPI Nurse Practitioner · Tomball, TX
NPI 1831889005 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1831889005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP143070 (TX)
- Practice address
- 16131 N Eldridge Pkwy Ste 100
Tomball, TX 77377-9130 - Phone
- (832) 639-1544
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230926000166 | TX | Practitioner - Nurse Practitioner | 5799139713 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP143070 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current |
Accepting new patients | |
| TMH Physician Associates PLLC | Current |
Accepting new patients | |
| Methodist Radiology Associates, PLLC | Past | Accepting new patients |
Locations
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
Interoperability endpoints
- cabanobi21158@direct.houstonmethodist.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP143070 | TX | Yes |
Addresses
Primary practice location
16131 N Eldridge Pkwy Ste 100
Tomball, TX 77377-9130
Mailing address
16131 N Eldridge Pkwy Ste 100
Tomball, TX 77377-9130
Phone (832) 639-1544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86-3038792 | Other | TX | SYNERGENX PHYSICIAN SERVICES, PLLC |
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.