ENOBONG C. UDO (NPI# 1124518253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124518253 |
| Entity Type | Individual |
| Full Name | ENOBONG C. UDO |
| Credential | A-GNP |
| Practice Address |
5072 W Plano Pkwy Ste 220 Plano TX 75093-4475 |
| Mailing Address |
5072 W Plano Pkwy Plano TX 75093-4476 |
| Practice Telephone | 4696710900 |
| Mailing Telephone | 4696710900 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP137519 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP137519 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP137519 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP137519 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5072 W PLANO PKWY STE 220 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083925960 | Odette Louise Campbell, Md, Pa | Radiology | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2010-06-25 |
| 1912504796 | Joint Regeneration & Arthritis Relief Institute of Dfw Pllc | Clinic/Center | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2020-10-05 |
| 1750906681 | North Texas Medical Specialists, Pllc | Internal Medicine | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2020-06-16 |
| 1518439819 | Tariq J Hendawi | Nurse Practitioner | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2018-12-27 |
| 1235503145 | Libra Occupational Therapy PC | Occupational Therapist | 5072 W Plano Pkwy Ste 220, Plano, TX 75093 | 2015-11-17 |
| 1730445529 | Inga Krips | Occupational Therapist | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2012-04-05 |
| 1366750325 | Odette Louise Campbell Md Pa | Radiology | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695255 | Medigence Health, Inc. | Nurse Practitioner | 1401 Capital Ave Ste D, Plano, TX 75074-8181 | 2020-10-08 |
| 1164068391 | Ralf Wancha | Nurse Practitioner | 1947 K Ave Ste A400, Plano, TX 75074-5943 | 2019-11-22 |
| 1831752427 | Amy Marie Stewart | Nurse Practitioner | 936 Stone Trail Dr, Plano, TX 75023-7131 | 2019-04-18 |
| 1841770583 | Angela Lain | Nurse Practitioner | 8232 Preston Rd Ste 115, Plano, TX 75024-2372 | 2018-08-21 |
| 1467952879 | Emmy Kirui-modi | Nurse Practitioner | 1360 Star Ct # T3, Plano, TX 75074-7353 | 2018-02-13 |
| 1710403894 | Fely Jane Ong | Nurse Practitioner | 4865 Hedgecoxe Rd, Suite 400, Plano, TX 75024 | 2017-08-21 |
| 1629426846 | Reliant Provider Services, LLC | Nurse Practitioner | 6860 Dallas Pkwy, Ste 550, Plano, TX 75024-4232 | 2016-05-27 |
| 1104254986 | Phianh Thi Nguyen | Nurse Practitioner | 6124 W Parker Rd Ste 336, Plano, TX 75093-8124 | 2013-10-14 |
| 1093903270 | Shana S O'roark | Nurse Practitioner | 1255 W 15th St Ste 100, Plano, TX 75075-7262 | 2007-10-12 |
| 1962696690 | Kala Robin Dehaan-hill | Nurse Practitioner | 2301 Ohio Drive #136, Plano, TX 75093 | 2007-09-06 |
| Find all providers in PLANO | ||||
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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.