Active NPI
Maureen Ukpu, FNP
- Family Nurse Practitioner
- Brookshire, TX
National Provider Identifier
1902404940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1015579
- Practice address
- 30734 Aster Brook Dr
Brookshire, TX 77423-0147 - Phone
- (901) 859-0411
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1015579 | TX | Primary |
Addresses
Primary practice location
30734 Aster Brook Dr
Brookshire, TX 77423-0147
Mailing address
30734 Aster Brook Dr
Brookshire, TX 77423-0147
Phone (901) 859-0411
Other practice location 1
30734 Aster Brook Dr
Brookshire, TX 77423-0147
Phone (713) 771-2292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015579 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1902404940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30734 ASTER BROOK DR",
"city": "BROOKSHIRE",
"state": "TX",
"postal_code": "774230147",
"telephone_number": "901-859-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30734 ASTER BROOK DR",
"city": "BROOKSHIRE",
"state": "TX",
"postal_code": "774230147",
"telephone_number": "901-859-0411"
}
],
"practiceLocations": [
{
"address_1": "30734 Aster Brook Dr",
"address_purpose": "LOCATION",
"city": "Brookshire",
"state": "TX",
"postal_code": "774230147",
"country_code": "US",
"telephone_number": "713-771-2292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UKPU",
"first_name": "MAUREEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1015579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookshire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.