Active NPI
Ifedapo Sotubo, FNP
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1063000909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1020827
- Practice address
- 325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923 - Phone
- (888) 731-8994
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1020827 | TX | Primary |
Addresses
Primary practice location
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Mailing address
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (888) 731-8994
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bee Busy Wellness Center | Current | Accepting new patients | |
| Bee Busy Wellness Center | Current | Accepting new patients | |
| Medcomplete LLC | Current | Accepting new patients | |
| Integrative Womens Care PC | Past | Accepting new patients | |
| Southwest Texas Two Medical Group, PLLC | Family Medicine | Past | Accepting new patients |
Locations
9896 Bissonnet St
Ste 625
Houston, TX 77036
Phone (713) 774-8800
8785 W Bellfort Ave
Houston, TX 77031
Phone (713) 771-2292
26717 Westheimer Pkwy
Unit 103
Katy, TX 77494
Phone (832) 838-4031
Interoperability endpoints
- isotubo757129@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1669603056
-
- Community Health Clinic/Center
- Katy, TX
- NPI 1790221505
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1952868143
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1659950475
Family Medicine
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1063000909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "888-731-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTUBO",
"first_name": "IFEDAPO",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1020827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.