Emmanuel Kayode

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1110353 Issued in TX

Practice address

2360 Gulf Fwy S Ste 100B
League City, TX 77573-6448

Phone

(281) 554-0123

NPI assigned

Feb 13, 2023

Last updated

Aug 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Beacon Behavioral of Texas PA

  dba Earthman Psychiatry & Addiction Medicine

  • Psychiatry Physician
  • Allen, TX
  • NPI 1053545335

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Saeed Medical Group, P.L.L.C

  • Child & Adolescent Psychiatry Physician
  • League City, TX
  • NPI 1326304262

  Single Specialty

  NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1083311880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WESTCOTT ST STE 520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770079001",
            "telephone_number": "713-864-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 GULF FWY S STE 100B",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736448",
            "telephone_number": "281-554-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYODE",
        "first_name": "EMMANUEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1110353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Kalia, M.D.
• Phillip Kanelakos, RPH
• Hamid C Kantara, D.C.
• Maribel Kasper, RN
• Richard Lee Kaura Jr., D.O.
• Christi L Keeler, MS, ATC, LAT
• Jessica R Kelley
• Kolby Kelley
• Melissa Anne Kelly, OD
• Samantha Ellen Kelly, RBT

• Psychiatric/Mental Health Nurse Practitioner in League City, TX
• Providers in League City, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.