Active NPI
Callista Nkeiruka Davis-Osuagwu, FNP,MSN
- Family Nurse Practitioner
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1058521
- Practice address
- 14514 Smith Bridge LN
Sugar Land, TX 77498-2190 - Phone
- (835) 250-6881
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 1058521 | TX | Primary |
Addresses
Primary practice location
14514 Smith Bridge LN
Sugar Land, TX 77498-2190
Mailing address
14514 Smith Bridge LN
Sugar Land, TX 77498-2190
Phone (835) 250-6881
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8515 Fondren Rd
Suite 260 B
Houston, TX 77074-7070
Phone (832) 250-6881
8540 Broadway St
Suite 112
Pearland, TX 77584-7716
Phone (817) 337-6604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1058521 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destiny Care Services, Inc. | Current | Accepting new patients | |
| Woundtech of Texas | Current | Accepting new patients | |
| Woundcare Experts Inc | Family | Current | Accepting new patients |
| WT Health of Texas LLC | Current | Accepting new patients | |
| Hospice & Palliative Care of Texas, Inc. | Past | Accepting new patients |
Locations
200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263
1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300
8515 Fondren Rd
Ste 260
Houston, TX 77074
Phone (713) 785-4800
8515 Fondren Rd
Ste 260B
Houston, TX 77074
Phone (832) 250-6881
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Destiny Care Services Inc | Home health agency | 5% Or Greater Direct Ownership Interest (100%) W-2 Managing Employee |
Mar 21, 2005 Mar 21, 2005 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Houston, TX
- NPI 1033103510
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Organizations & group practices 7
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.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1215738638
-
dba R3 woundcare and hyperbarics
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Pearland, TX
- NPI 1912580291
-
- Infectious Disease Physician
- Baytown, TX
- NPI 1336538925
-
- Infectious Disease Physician
- Baytown, TX
- NPI 1801690292
-
dba R3 woundcare and hyperbarics
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kingwood, TX
- NPI 1982279188
-
- Home Health Agency
- Houston, TX
- NPI 1033103510
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1477751550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1114428513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14514 SMITH BRIDGE LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774982190",
"telephone_number": "835-250-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14514 SMITH BRIDGE LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774982190",
"telephone_number": "835-250-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-OSUAGWU",
"first_name": "CALLISTA",
"middle_name": "NKEIRUKA",
"credential": "FNP,MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1058521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.