Individual provider Active NPI

Isichei Samuel Anene

  • Driver
  • Sugar Land, TX
National Provider Identifier
1962036442
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
104 Industrial Blvd Ste D
Sugar Land, TX 77478-3170
Phone
(907) 351-4814
NPI assigned
Feb 24, 2020
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X NU Primary

Addresses

Primary practice location

104 Industrial Blvd Ste D
Sugar Land, TX 77478-3170

Mailing address

104 Industrial Blvd Ste D
Sugar Land, TX 77478-3170
Phone (907) 351-4814

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RJN Health Resources Inc Current Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1962036442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL BLVD STE D",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783170",
            "telephone_number": "907-351-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL BLVD STE D",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783170",
            "telephone_number": "907-351-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANENE",
        "first_name": "ISICHEI",
        "middle_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.