Monica Iruke

Key facts

NPI

1902385248

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Registered Nurse 163WP0200X

License

820997 (TX)

Practice address

602 W Semands St
Conroe, TX 77301-1867

Phone

(936) 756-5598

NPI assigned

Aug 8, 2018

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• Advocate Pediatric Home Care LLC Home Health Agency · Conroe, TX · NPI 1285937987
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 8, 2018.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1902385248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17930 MISSION BLUFF LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072574",
            "telephone_number": "817-714-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W SEMANDS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011867",
            "telephone_number": "936-756-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRUKE",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "820997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Conroe, TX · Pediatric Registered Nurse in Texas