JOY ILERUWA EBOMWONYI (NPI# 1235697822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235697822 |
| Entity Type | Individual |
| Full Name | JOY ILERUWA EBOMWONYI |
| Credential | NP |
| Practice Address |
17567 Imperial Valley Dr Houston TX 77060-7706 |
| Mailing Address |
1502 Blue Willow Ct Pflugerville TX 78660-2264 |
| Practice Telephone | 2818770187 |
| Mailing Telephone | 5122977262 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | AP140832 | TX | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP140832 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17567 Imperial Valley Dr, Houston, TX 770606102 | 5122977262 | |
| 17567 Imperial Valley Dr, Houston, TX 770606102 | 2818770187 | |
| 17567 Imperial Valley Dr, Houston, TX 770607706 | 2818770187 |
| Street Address |
17567 IMPERIAL VALLEY DR, |
| City | HOUSTON |
| State | TX |
| Zip Code | 77060-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822762 | Salvations Hospice | Hospice Care, Community Based | 215 W. Alabama Street, Suite 102, Houston, TX 77060 | 2020-05-14 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1124664685 | Leah Haynes | Technician | 514 Connorval Ln, Houston, TX 77060 | 2019-11-20 |
| 1932680576 | Jacky Thai | Physical Therapy Assistant | 11120 North Fwy, Houston, TX 77060 | 2018-08-22 |
| 1881174852 | Wesley Healthcare, LLC | Hospice Care, Community Based | 650 Sam Houston Pkwy E. Suite 210, Houston, TX 77060 | 2018-08-18 |
| 1184133506 | Rising Transportation | Non-emergency Medical Transport (VAN) | 519 N. Sam Houston Pkwy East, Ste. 450-o, Houston, TX 77060 | 2017-09-28 |
| 1205356524 | Savoy-nicholas Outreach Services, Inc. | Community/Behavioral Health | 525 N. Sam Houston Parkway E. Suite 416, Houston, TX 77060 | 2017-06-27 |
| 1942736533 | Pediatric Home Healthcare | Home Health | 363 N Sam Houston Pkwy E Ste 340, Houston, TX 77060 | 2017-05-03 |
| 1669857686 | Carlos Eduardo Garcia | Speech-Language Pathologist | 12941 North Freeway Ste. 401, Houston, TX 77060 | 2015-07-21 |
| 1982084208 | Texas Family Hospice and Palliative Care | Hospice Care, Community Based | 426 Alvin Bender, Ste C, Houston, TX 77060 | 2015-06-02 |
| Find all providers in zip 77060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on JOY ILERUWA EBOMWONYI.
| 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.