Individual provider Active NPI

Fanny Egbe Nnabuike, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1992207930
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP136186 Issued in TX
Practice address
6315 Gulfton St
Houston, TX 77081-1107
Phone
(469) 257-3500
Fax
(713) 457-0945
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X F10171122 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP136186 TX Primary
Family Nurse Practitioner 363LF0000X AP136186 TX

Addresses

Primary practice location

6315 Gulfton St
Houston, TX 77081-1107

Mailing address

11665 Highway 6 South, Sugarland Texas
Houston, TX 77478
Phone (713) 909-0407

Other practice location 1

6335 Gulfton St Ste 103
Houston, TX 77081-1112
Phone (469) 257-3500

Other names 1

  • Fanny Egbe Tanyi Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720000295 TX Practitioner - Nurse Practitioner 8123375219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mava Healthcare System LLCGroup PAC ID 9436586153, 14 clinicians
Gidexfda Psychiatry and Behavioral Health LLCGroup PAC ID 2466891288, 2 clinicians

Practice addresses (Care Compare)

18230 FM 1488 Rd
Suite 201
Magnolia, TX 77354-4530
Phone (832) 810-0200

2717 Commercial Ctr Blvd
Suite E200
Katy, TX 77494-7823
Phone (832) 457-5529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10171122TXMDGeneral Practice Registered Nurse
AP136186TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kinghaven Counseling Group Inc CurrentSince Feb 1, 2021 Accepting new patients
Mava Healthcare System LLC CurrentSince Jul 1, 2022 Accepting new patients
Gidexfda Psychiatry and Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jul 3, 2024 Accepting new patients

Locations

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

2717 Commercial Center Blvd
Ste E200
Katy, TX 77494
Phone (281) 865-5433

18230 FM 1488 Rd
Ste 201
Magnolia, TX 77354
Phone (832) 810-0200

25319 Interstate 45
Ste 100
Spring, TX 77380
Phone (832) 810-0200

Organizations & group practices 3

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1992207930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11665 HIGHWAY 6 SOUTH, SUGARLAND TEXAS",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "713-909-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 GULFTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811107",
            "telephone_number": "469-257-3500",
            "fax_number": "713-457-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6335 Gulfton St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770811112",
            "country_code": "US",
            "telephone_number": "469-257-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NNABUIKE",
        "first_name": "FANNY",
        "middle_name": "EGBE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "F10171122",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136186",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FANNY",
            "last_name": "TANYI",
            "middle_name": "EGBE",
            "credential": "RN, BSN,MSN,APRN,FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.