Individual provider Active NPI

Patricia Obionwu, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1891888038
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP119623 Issued in TX
Practice address
14406 Manorbier LN
Sugar Land, TX 77498-9768
Phone
(845) 323-6201
NPI assigned
Oct 2, 2006
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X AP119623 TX
Family Nurse Practitioner 363LF0000X AP119623 TX Primary

Addresses

Primary practice location

14406 Manorbier LN
Sugar Land, TX 77498-9768

Mailing address

14406 Manorbier LN
Sugar Land, TX 77498-9768
Phone (845) 323-6201

Other identifiers 1

IdentifierTypeStateIssuer
02046266MedicaidNY

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170413002180 TX Practitioner - Certified Nurse Midwife (CNM) 0244321636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Missouri, Columbia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

11693 Westheimer Rd
Suite 180
Houston, TX 77077-6867
Phone (346) 355-4352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000613NYMDMedical Physician Assistant
AP119623TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrend Healthcare Inc Current Accepting new patients
Innovative Infusions, LLC CurrentSince Aug 26, 2024 Accepting new patients
Innovative Infusions, LLC CurrentSince Aug 26, 2024 Accepting new patients
Mount Sinai Diagnostic and Treatment Center Past Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

11693 Westheimer Rd
Ste 180
Houston, TX 77077
Phone (346) 355-4352

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1891888038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14406 MANORBIER LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774989768",
            "telephone_number": "845-323-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14406 MANORBIER LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774989768",
            "telephone_number": "845-323-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIONWU",
        "first_name": "PATRICIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "AP119623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02046266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.