NKECHINYELU NEBEOLISA (NPI# 1013450345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013450345 |
| Entity Type | Individual |
| Full Name | NKECHINYELU NEBEOLISA |
| Credential | PA-C |
| Practice Address |
16185 Space Center Blvd Houston TX 77062-6210 |
| Mailing Address |
11939 Firebird Dr Houston TX 77099-4050 |
| Practice Telephone | 2814861872 |
| Mailing Telephone | 3467708883 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10958 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL BOARD | PA10958 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11939 Firebird Dr, Houston, TX 770994050 | 2814551746 | |
| 2550 Gray Falls Dr Ste 150, Houston, TX 770776687 | 7134222920 | 7134222920 |
| Street Address |
16185 SPACE CENTER BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77062-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710992714 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 16185 Space Center Blvd, Houston, TX 77062-6210 | 2006-07-29 |
| 1750610416 | Naina V Patel | Pharmacist | 16185 Space Center Blvd, Houston, TX 77062-6210 | 2009-12-09 |
| 1467780353 | Sophia Ly Nguyen | Pharmacist | 16185 Space Center Blvd, Houston, TX 77062-6210 | 2009-12-03 |
| 1578891537 | Alan Randall Brown | Pharmacist | 16185 Space Center Blvd, Houston, TX 77062-6210 | 2009-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163582 | Amy Ceniza Babanto | Assistant Behavior Analyst | 1001 Pineloch Drive, Suite 600, Houston, TX 77062 | 2018-11-26 |
| 1457839516 | Providence Clearlake Specialty Hospital LLC | Special Hospital | 1351 Clearlake City Blvd, Houston, TX 77062 | 2018-08-01 |
| 1669977468 | Distinct Abilities Academic Preschool, LLC | Occupational Therapist | 14045 Space Center Blvd., Houston, TX 77062 | 2018-03-26 |
| 1568984128 | Sydney Ann Hayes | Specialist/Technologist | 15818 Seahorse Dr., Houston, TX 77062 | 2017-07-14 |
| 1114389509 | Jts Express Transportation Services, LLC | Private Vehicle | 806 Oak Harbor Drive, Houston, TX 77062 | 2016-03-24 |
| 1609269505 | Lauren Amilcar | Pharmacist | 16590 El Camilo Real, Houston, TX 77062 | 2015-03-17 |
| 1457609000 | Marilyn Ann Straitwell | Registered Nurse | 2323 Clear Lake City Blvd., Suite 180-213, Houston, TX 77062 | 2012-08-29 |
| 1447537477 | Julie H Du | Dentist | 2323 Clear Lake City Blvd. #140, Houston, TX 77062 | 2011-11-04 |
| 1437488756 | Yolanda Franklin | Massage Therapist | 16646 La Avenida Dr., Houston, TX 77062 | 2009-12-16 |
| 1992034391 | Phuong-anh 'christy' Nguyen | Nurse Practitioner | 14642 St. Cloud, Houston, TX 77062 | 2009-12-14 |
| Find all providers in zip 77062 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| 1306453659 | Christine Michelle Serewis - Pond | Physician Assistant | 950 Threadneedle St # 282, Houston, TX 77079-2925 | 2020-09-29 |
| 1902412828 | Chen-ho Yang | Physician Assistant | 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 | 2020-09-16 |
| 1437769833 | Aviva Tziporah Rogozen | Physician Assistant | 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 | 2020-07-31 |
| 1417575671 | Harmeet Kaur | Physician Assistant | 9601 Jones Rd Ste 238, Houston, TX 77065-4774 | 2020-07-13 |
| 1780201939 | Evelyn Oliva | Physician Assistant | 4943 Brenner St, Houston, TX 77022-2536 | 2020-07-02 |
| 1093330722 | Stephanie Kochuparambil | Physician Assistant | 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 | 2020-06-09 |
| 1376171587 | Samad Syed Ali | Physician Assistant | 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 | 2020-04-01 |
| 1235765660 | Samantha Salcedo | Physician Assistant | 6651 Main St Ste 1420, Houston, TX 77030-2351 | 2020-03-17 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.