{
"Npi": {
"NPI": "1447403613",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "EMENIKE-OGBORU",
"FirstName": "EDITH",
"MiddleName": "EJOKPAOGHENE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "DNP, FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "EMENIKE",
"OtherFirstName": "EDITH",
"OtherMiddleName": "E.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "EDITH EMENIKE",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "29127 GARDEN RIVER CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FULSHEAR",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77441-1778",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-599-3900",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6550 FANNIN ST STE 1101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77030-2740",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-599-3900",
"PracticeLocationAddressFaxNumber": "281-346-8625",
"EnumerationDate": "10/31/2008",
"LastUpdateDate": "10/02/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "AP131119",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}