MARYROSE OBIDIAKU (NPI# 1043769284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043769284 |
| Entity Type | Individual |
| Full Name | MARYROSE OBIDIAKU |
| Credential | NP |
| Practice Address |
5500 N Macarthur Blvd Irving TX 75038-2603 |
| Mailing Address |
265 E Corporate Dr Apt 335 Lewisville TX 75067-6682 |
| Practice Telephone | 9725181325 |
| Mailing Telephone | 2147897987 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131624 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5500 N MACARTHUR BLVD |
| City | IRVING |
| State | TX |
| Zip Code | 75038-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945403 | Debbie Speegle | Physician Assistant | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2005-10-12 |
| 1528670437 | Nilam Patel | Nurse Practitioner | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2020-08-21 |
| 1720527781 | Alan Mosley | Nurse Practitioner | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2017-02-22 |
| 1295288256 | Elise Nichole Woodside | Nurse Practitioner | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2016-07-26 |
| 1235504135 | Karen Tri | Registered Nurse | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2015-12-03 |
| 1801264486 | Shandria Sawyer | Nurse Practitioner | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2015-09-13 |
| 1386052868 | Quyen Thi Trinh | Nurse Practitioner | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2014-07-28 |
| 1922437599 | Anisha Elackattu | Nurse Practitioner | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2013-11-05 |
| 1952664328 | Gaudensia Awuor | Nurse Practitioner | 5500 N Macarthur Blvd, Irving, TX 75038-2603 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959587 | S&w Primary Home Care | Home Health | 3921 Timberidge Drive, Irving, TX 75038 | 2020-10-12 |
| 1295372928 | Wecare Tlc | Clinic/Center | 777 Hidden Ridge, Irving, TX 75038 | 2019-12-02 |
| 1407369135 | North Texas Psychiatry Associates Pllc | Psychiatry & Neurology | 4020 N. Macarthur Blvd, Suite 122 - 153, Irving, TX 75038 | 2017-11-16 |
| 1164970745 | Young Men's Christian Association of Metropolitan Dallas | Health Educator | 1621 W Walnut Hill Ln, Irving, TX 75038 | 2016-09-13 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 1912318445 | Alliance Neurodiagnostics, LLC | Clinic/Center | 4545 Fuller Dr Ste 200, Irving, TX 75038 | 2014-05-19 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| 1437403227 | Dashwood Pharmacy | Pharmacy | 1300 W. Walnut Hill Lane, Suite 163, Irving, TX 75038 | 2012-11-01 |
| 1265795538 | Michael Fooshee | Dentist | 3007 Skyway Circle North, Suite 100, Irving, TX 75038 | 2012-06-20 |
| 1205107273 | Sylviane Akenda Kasende | Nurse Practitioner | 2925 Skyway Circle N, Irving, TX 75038 | 2012-01-23 |
| Find all providers in zip 75038 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273393 | Neena Latin | Nurse Practitioner | 8003 N Macarthur Blvd Apt 1005, Irving, TX 75063-6149 | 2020-10-22 |
| 1588279533 | Antonio Brizuela | Nurse Practitioner | 536 Mills Ln, Irving, TX 75062-7569 | 2020-09-15 |
| 1275147522 | Cathleen Kerry Guiltinan | Nurse Practitioner | 1718 Shumard Oak Ln, Irving, TX 75063-8400 | 2020-09-03 |
| 1588277289 | Emily Brown | Nurse Practitioner | 4790 Regent Blvd Ste 201, Irving, TX 75063-2403 | 2020-08-24 |
| 1295346070 | Kimberly Barone | Nurse Practitioner | 655 Promenade Apt 4012, Irving, TX 75039-1213 | 2020-08-13 |
| 1972123008 | Melody Gandhi | Nurse Practitioner | 6445 Love Dr Apt 1014, Irving, TX 75039-4080 | 2020-04-18 |
| 1558995092 | Diti Joe Valooran | Nurse Practitioner | 1443 Del Mar Dr, Irving, TX 75060-4880 | 2020-02-24 |
| 1194370668 | Johnelle Suzanne Elizabeth Cooper | Nurse Practitioner | 3915 W Airport Fwy, Irving, TX 75062-5900 | 2019-08-01 |
| 1528527397 | Bosede Ehiobu | Nurse Practitioner | 3103 Denali Dr, Irving, TX 75063-0141 | 2019-03-19 |
| 1730653122 | Jennifer Nwangburuka | Nurse Practitioner | 2121 W Airport Fwy Ste 235, Irving, TX 75062-6033 | 2019-01-18 |
| Find all providers in IRVING | ||||
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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.