Individual provider Active NPI

Ukamaka E Nwobu

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1982294955
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1024034 Issued in TX
Practice address
Aicon Family Clinic
Houston, TX 77095-7709
Phone
(713) 461-2915
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1024034 TX Primary

Addresses

Primary practice location

Aicon Family Clinic
Houston, TX 77095-7709

Mailing address

16261 Farm to Market Rd 529 a.
Houston, TX 77095

Other identifiers 1

IdentifierTypeStateIssuer
1024034OtherTXAPRN

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
1024034TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ukamaka.nwobu.1@20632.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1982294955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 FARM TO MARKET RD 529 A.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AICON FAMILY CLINIC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770957709",
            "telephone_number": "713-461-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOBU",
        "first_name": "UKAMAKA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1024034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "1024034",
            "state": "TX"
        }
    ],
    "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 Jan 22, 2021; 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.