Karimot Adenike Pedro, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

662417 Issued in TX

Practice address

19015 Crest Cove Dr
Cypress, TX 77433-3391

Phone

(832) 455-4624

NPI assigned

Sep 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Vanguard Geriatrics Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1356300420

  Adult Health

  NPD (past)
• Vanguard Geriatrics of Texas Inc

  • Primary Care Nurse Practitioner
  • Houston, TX
  • NPI 1801129515

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1063606804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19015 CREST COVE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333391",
            "telephone_number": "832-455-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19015 CREST COVE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333391",
            "telephone_number": "832-455-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRO",
        "first_name": "KARIMOT",
        "middle_name": "ADENIKE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "662417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Peck
• Stacie Williams Peck, PHARM.D.
• Pediatriac Occupational Therapy Services, PC
• Pediatric Physical Therapy Services
• Pediatric Specialists Network, PA
• Jeanette D Peebles, RBT
• Susana Pena Salazar, SA-C
• Amber M Pena, MD
• Euglis C Pena, ARNP
• Roy Daniel Pendergraft, M.D.

• Adult Health Nurse Practitioner in Cypress, TX
• Providers in Cypress, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.