Individual provider Active NPI

Folashade Abosede Fadairo

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1043710700
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1167352 Issued in TX
Practice address
5131 Lamppost Hill CT
Katy, TX 77449-1895
Phone
(832) 235-4432
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1167352 TX Primary
Registered Nurse 163W00000X 931779 TX

Addresses

Primary practice location

5131 Lamppost Hill CT
Katy, TX 77449-1895

Mailing address

5131 Lamppost Hill CT
Katy, TX 77449-1895
Phone (832) 235-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013002271 TX Practitioner - Nurse Practitioner 9436646668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Community Integration ProjectGroup PAC ID 8921526625, 4 clinicians

Practice addresses (Care Compare)

6005 Windward Falls Way
Porter, TX 77365-1899
Phone (903) 258-0189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
931779TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Community Integration Project Psychiatric/Mental Health CurrentSince Jul 28, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1043710700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 LAMPPOST HILL CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491895",
            "telephone_number": "832-235-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 LAMPPOST HILL CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491895",
            "telephone_number": "832-235-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADAIRO",
        "first_name": "FOLASHADE",
        "middle_name": "ABOSEDE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1167352",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "931779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.