Individual provider Active NPI

Callista Nkeiruka Davis-Osuagwu, FNP,MSN

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1114428513
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1058521 Issued in TX
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

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002003029 TX Practitioner - Nurse Practitioner 7719896588 Reassigns benefits to 5 organizations

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
RRR Hyperbarics 6 LLCGroup PAC ID 8022400506, 7 clinicians

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

LicenseStateTypeSpecialty
1058521TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Destiny Care Services, Inc. CurrentSince Mar 21, 2005 Accepting new patients
Woundtech of Texas CurrentSince Jul 12, 2024 Accepting new patients
Woundcare Experts Inc Family CurrentSince Jun 1, 2025 Accepting new patients
WT Health of Texas LLC CurrentSince Jun 3, 2025 Accepting new patients
Hospice & Palliative Care of Texas, Inc. PastSince Aug 5, 2005 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.

FacilityTypeRoleSince
Destiny Care Services IncHouston, TX, CCN 679449 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.

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.

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

Verify at the official NPI Registry.