Sidratu Rugie Issa, EAGLES TRACE

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA10091344 Issued in TX

Practice address

14703 Eagle Vista Dr
Houston, TX 77077-5394

Phone

(832) 430-0138

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922537034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 EAGLE VISTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775394",
            "telephone_number": "832-430-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14703 EAGLE VISTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775394",
            "telephone_number": "832-430-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "SIDRATU",
        "middle_name": "RUGIE",
        "credential": "EAGLES TRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA10091344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olaleye Isola, RRT/RCP
• Mfon Isong, DPT
• Zemorah Israel, LSA
• Lavelle Isreal, PNP-AC
• Ghayas C. Issa, M.D.
• Jeena Issac, NP
• Regina Issac, PHARMD
• Yohannan K Issac, RRT
• Mohammed B. Issaka, PHARMD
• Niveen Issaq, MD

• Nurse's Aide in Houston, TX
• Providers in Houston, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.