Individual provider Active NPI

Ugomma G Ogidi, NURSE PRACTITIONER

  • Family Health Clinical Nurse Specialist
  • Houston, TX
National Provider Identifier
1942837273
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
AP145275 Issued in TX
Practice address
5351 Antoine Dr Ste B
Houston, TX 77091-4999
Phone
(832) 567-7254
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X AP145275 TX Primary

Addresses

Primary practice location

5351 Antoine Dr Ste B
Houston, TX 77091-4999

Mailing address

410 Annes Way
Stafford, TX 77477-5444
Phone (832) 567-7254

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

LicenseStateTypeSpecialty
AP145275TXMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Primeway Healthcare Services, Inc. Current Accepting new patients
Maria Regina Home Health Agency Inc CurrentSince May 2, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1942837273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ANNES WAY",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775444",
            "telephone_number": "832-567-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5351 ANTOINE DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914999",
            "telephone_number": "832-567-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGIDI",
        "first_name": "UGOMMA",
        "middle_name": "G",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "AP145275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.