NPI age
8 years
Enumerated 2018-02-05
● Active
Type 1 · Individual
Destiny Ibrom, FNP
Ibrom is 1 of 14 nurse practitioner providers in Port Lavaca and 1 of 22123 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-11-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-02Enumerated in NPPES
2018
2026
Where they practice
Practice location
1200 N Virginia St
Port Lavaca, TX 779792507
Mailing address
1200 N Virginia St
Port Lavaca, TX 779792507
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.