Individual provider Active NPI

Doris Ovbiye Osemwota, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1962939132
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP132638 Issued in TX
Practice address
16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003
Phone
(281) 302-5645
Fax
(713) 429-5207
NPI assigned
May 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP132638 TX Primary

Addresses

Primary practice location

16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003

Mailing address

16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003
Phone (281) 302-5645

Other identifiers 1

IdentifierTypeStateIssuer
45-0675246OtherTXMEDICARE, MEDICAID, PRIVATE INSURANCE

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

State licenses

LicenseStateTypeSpecialty
AP132638TXMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962939132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY STE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774790003",
            "telephone_number": "281-302-5645",
            "fax_number": "713-429-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY STE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774790003",
            "telephone_number": "281-302-5645",
            "fax_number": "713-429-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEMWOTA",
        "first_name": "DORIS",
        "middle_name": "OVBIYE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP132638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, MEDICAID, PRIVATE INSURANCE",
            "identifier": "45-0675246",
            "state": "TX"
        }
    ],
    "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 Jul 21, 2022; 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.