Abou Diallo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1029370 Issued in TX

Practice address

580 Westlake Park Blvd Ste 700
Houston, TX 77079-2613

Phone

(832) 244-4450

NPI assigned

Mar 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: adiallo@landmarkhealth-direct.org

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1043715535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 139TH ST APT 12N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371518",
            "telephone_number": "917-346-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WESTLAKE PARK BLVD STE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792613",
            "telephone_number": "832-244-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Post Oak Blvd Suite 600",
            "address_2": "2 Blvd Place",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770567503",
            "country_code": "US",
            "telephone_number": "469-200-3272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W 139th St Apt 12N",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371518",
            "country_code": "US",
            "telephone_number": "917-346-6296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105504002",
            "country_code": "US",
            "telephone_number": "914-699-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5445 Almeda Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770047447",
            "country_code": "US",
            "telephone_number": "917-346-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "ABOU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342792",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostics 2000
• Javier Andres Diago Benjumea, MD
• Nikolaos Diakos, M.D.
• Michele Jones Dial, LPC
• Imelda Diala
• Fatoumata Diallo, NP
• Dialysis Providers of America LLC
• Dialysis Solutions, Inc.
• Dialyspa Contract Services, LLC
• Dialyspa II LLC

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.