Active NPI
Ifechukwudeny Bishop Okwuoyibo, APRN, FNP-C
- Family Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1000053
- Practice address
- 200 S Park Rd
Hollywood, FL 33021-8592 - Phone
- (932) 727-2983
- NPI assigned
- Sep 28, 2019
- Last updated
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 883554 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1000053 | TX | Primary |
Addresses
Primary practice location
200 S Park Rd
Hollywood, FL 33021-8592
Mailing address
1431 S Highway 69
Nederland, TX 77627-7841
Phone (409) 853-1885
Other practice location 1
6830 E Sam Houston Pkwy N Ste 100B
Houston, TX 77049-7301
Phone (409) 853-1885
Other practice location 2
1431 S Highway 69
Nederland, TX 77627-7841
Phone (409) 853-1885
Other practice location 3
2415 Town Center Dr
Sugar Land, TX 77478-4387
Phone (409) 853-1885
Other practice location 4
85 Interstate 10 N Ste 110
Beaumont, TX 77707-2560
Phone (409) 853-1885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1431 S Hwy 69
Nederland, TX 77627-7841
Phone (409) 540-9418
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 883554 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Wound Care of Texas PLLC | Current | Accepting new patients | |
| Priority Wound Care 2 U LLC | Family | Current | Accepting new patients |
| Woundtech of Texas | Current | Accepting new patients | |
| Old Mission Wound Care Texas PLLC | Current | Accepting new patients | |
| WT Health of Texas LLC | Current | Accepting new patients | |
| Priority Wound Care LLC | Family | Current | Accepting new patients |
| Euniversal Investment Group Inc | Past | Accepting new patients |
Locations
200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263
1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
5900 Balcones Dr
Ste 100
Austin, TX 78731
1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300
85 Interstate 10 N
Ste 110
Beaumont, TX 77707
Phone (409) 853-1885
1431 S Highway 69
Nederland, TX 77627
Phone (409) 540-9418
12001 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 434-3800
225 Matlage Way
Unit 31
Sugar Land, TX 77487
2415 Town Center Dr
Sugar Land, TX 77478
Phone (409) 853-1885
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Nederland, TX
- NPI 1982345617
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1205783065
-
- Internal Medicine Physician
- Pearland, TX
- NPI 1104708312
-
- Infectious Disease Physician
- Baytown, TX
- NPI 1336538925
-
- Infectious Disease Physician
- Baytown, TX
- NPI 1801690292
-
- Land Ambulance
- Rosenberg, TX
- NPI 1245500222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1952952160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 S HIGHWAY 69",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776277841",
"telephone_number": "409-853-1885",
"fax_number": "866-397-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S PARK RD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218592",
"telephone_number": "932-727-2983"
}
],
"practiceLocations": [
{
"address_1": "6830 E Sam Houston Pkwy N Ste 100B",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770497301",
"country_code": "US",
"telephone_number": "409-853-1885",
"fax_number": "866-397-8681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1431 S Highway 69",
"address_purpose": "LOCATION",
"city": "Nederland",
"state": "TX",
"postal_code": "776277841",
"country_code": "US",
"telephone_number": "409-853-1885",
"fax_number": "866-397-8681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2415 Town Center Dr",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774784387",
"country_code": "US",
"telephone_number": "409-853-1885",
"fax_number": "866-397-8681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "85 Interstate 10 N Ste 110",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "TX",
"postal_code": "777072560",
"country_code": "US",
"telephone_number": "409-853-1885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKWUOYIBO",
"first_name": "IFECHUKWUDENY",
"middle_name": "BISHOP",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-28",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "883554",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1000053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.