Individual provider Active NPI

Scholastica Nnenna Nwodo, FNP

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1861444028
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
609245 Issued in TX
Practice address
2663 Turning Row LN
Missouri City, TX 77459-4343
Phone
(382) 755-7805
Fax
(832) 886-1675
NPI assigned
May 16, 2006
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 609245 TX Primary

Addresses

Primary practice location

2663 Turning Row LN
Missouri City, TX 77459-4343

Mailing address

2663 Turning Row LN
Missouri City, TX 77459-4343
Phone (832) 755-7805

Other identifiers 1

IdentifierTypeStateIssuer
193240201MedicaidTX

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
I20060505000314 TX Practitioner - Nurse Practitioner 8921019951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Doctors Group, PA Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1861444028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 TURNING ROW LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594343",
            "telephone_number": "832-755-7805",
            "fax_number": "832-886-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 TURNING ROW LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594343",
            "telephone_number": "382-755-7805",
            "fax_number": "832-886-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWODO",
        "first_name": "SCHOLASTICA",
        "middle_name": "NNENNA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "609245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193240201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.