Organization Active NPI

Update Family Clinic LLC

  • Family Nurse Practitioner
  • Rosenberg, TX
National Provider Identifier
1922735828
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Kudirat F Sunmonu, MSN, APRNNPI 1548777915
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220804001340 TX Part B Supplier - Clinic/Group Practice 6901288182 Receives reassigned benefits from 1 practitioner
Practice locations: Rosenberg, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2261972Update Family Clinic LLC1811 Avenue H, Rosenberg, TX 77471Certificate of waiverJun 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.