JACQUELINE MBUAGBAW FOSAH (NPI# 1164032975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164032975 |
Entity Type | Individual |
Full Name | JACQUELINE MBUAGBAW FOSAH |
Practice Address |
1504 Ben Taub Loop Houston TX 77030 |
Mailing Address |
5635 W Harrow Dr Houston TX 77084-1869 |
Practice Telephone | 7128732000 |
Mailing Telephone | 6513982927 |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP145962 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1504 BEN TAUB LOOP |
City | HOUSTON |
State | TX |
Zip Code | 77030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669674230 | Alexander Toledo | Emergency Medicine | 1504 Ben Taub Loop, Department of Emergency Medicine, Ben Taub General Hosp, Houston, TX 77030 | 2007-06-04 |
1790302636 | Kelsey Frances Podmeyer | Physician Assistant | 1504 Ben Taub Loop, Houston, TX 77030 | 2020-06-26 |
1174150171 | Meesha Khatker | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2020-03-27 |
1932759339 | Maribel Villa | Registered Nurse | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-09-17 |
1740834209 | Nancy Mojica | Registered Nurse | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-08-01 |
1477015246 | David Chamberlayne Wilde Jr. | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-04-02 |
1891255089 | Emily Grace Bruner | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-03-22 |
1235694209 | Kaelin Elizabeth Fox | Physician Assistant | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-02-04 |
1467940551 | Uchechukwu Anigbogu | Emergency Medicine | 1504 Ben Taub Loop, Emergency Center, Houston, TX 60304 | 2018-04-25 |
1194222356 | Kim-trang Da Ho | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2018-04-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
Find all providers in zip 77030 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
1548887748 | Sparks Psychiatry Pllc | Nurse Practitioner | 9898 Bissonnet St Ste 200, Houston, TX 77036-8025 | 2020-07-03 |
1801411087 | Leah Meyer | Nurse Practitioner | 2000 S Dairy Ashford Rd Ste 660, Houston, TX 77077-5711 | 2020-06-12 |
1134741416 | Elizabeth Ndubuaku Emebo | Nurse Practitioner | 6430 Court Rd Bldg A, Houston, TX 77053-4462 | 2020-05-10 |
1093348526 | Juliana Estrada | Nurse Practitioner | 1757 Aden Dr, Houston, TX 77003-5309 | 2020-02-12 |
1992337257 | Ozioma G Anyakudo | Nurse Practitioner | 2815 W Tc Jester Blvd, Houston, Texas 77018, Houston, TX 77018 | 2020-02-05 |
1578106217 | Simonpeter O Emokpaire | Nurse Practitioner | 230 Westcott St Ste 210, Houston, TX 77007-7026 | 2019-10-25 |
1477104420 | Seprina Renee Howard | Nurse Practitioner | 13702 Sutton Glen Ln, Houston, TX 77047-7540 | 2019-09-20 |
1700433760 | Kate Okoroafo | Nurse Practitioner | 3043 Gessner Dr, Houston, TX 77080 | 2019-08-23 |
1568018695 | Mile High Psychiatry LLC | Nurse Practitioner | 4545 Post Oak Place Dr Ste 110, Houston, TX 77027-3105 | 2019-08-14 |
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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.