Active NPI
Update Family Clinic LLC
- Family Nurse Practitioner
- Rosenberg, TX
National Provider Identifier
1922735828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- UPDATE FAMILY CLINIC LLC
- Practice address
- 1811 Avenue H
Rosenberg, TX 77471-2627 - Phone
- (832) 563-4254
- NPI assigned
- Aug 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kudirat F Sunmonu, MSN, APRN
- Title
- Co-Owner
- Phone
- (832) 563-4254
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1811 Avenue H
Rosenberg, TX 77471-2627
Mailing address
1811 Avenue H
Rosenberg, TX 77471-2627
Phone (832) 563-4254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2261972 | Update Family Clinic LLC | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Sugar Land, TX
- NPI 1548777915
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1922735828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 AVENUE H",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774712627",
"telephone_number": "832-563-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 AVENUE H",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774712627",
"telephone_number": "832-563-4254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPDATE FAMILY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-02",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A",
"authorized_official_last_name": "SUNMONU",
"authorized_official_first_name": "KUDIRAT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "832-563-4254",
"authorized_official_credential": "MSN, APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.