Individual provider Active NPI

Oyindamola Stella Akinkugbe

  • Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1124845359
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1189873 Issued in TX
Practice address
12881 N Ih 35
Live Oak, TX 78233-2966
Phone
(210) 742-6555
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 976836 TX
Nurse Practitioner 363L00000X 1189873 TX Primary

Addresses

Primary practice location

12881 N Ih 35
Live Oak, TX 78233-2966

Mailing address

12881 N Ih 35
Live Oak, TX 78233-2966
Phone (210) 742-6555

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
I20250318001541 TX Practitioner - Nurse Practitioner 6507388758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside Primary Care PLLC 49 clinicians

Practice addresses (Care Compare)

3710 Roosevelt Ave
San Antonio, TX 78214-2947
Phone (210) 742-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
976836TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Annova Healthcare PLLC Nurse Practitioner CurrentSince Jan 11, 2026 Accepting new patients
Hillside Primary Care PLLC Nurse Practitioner CurrentSince Mar 11, 2025 Accepting new patients
Regional Physician Services of Texas, P.a. Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Heal Well Primary Care PC PastSince Mar 26, 2023 Accepting new patients
Carefront Medical Group, PLLC Past Accepting new patients
Complete Care Partners LLC PastSince Jun 15, 2025 Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

232 Brite Rd
Ste 117
Cibolo, TX 78108
Phone (210) 247-2248

2201 S W S Young Dr
Ste 111B
Killeen, TX 76543
Phone (254) 680-3376

2207 Clear Creek Rd
Ste 303
Killeen, TX 76549
Phone (254) 519-8921

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552

790 Generations Dr
Ste 405
New Braunfels, TX 78130
Phone (210) 767-2549

6430 Bandera Rd
Ste 98
San Antonio, TX 78238
Phone (210) 326-5454

26081 Bulverde Rd
San Antonio, TX 78261

4926 Golden Quail
Ste 104
San Antonio, TX 78240
Phone (210) 876-1451

3710 Roosevelt Ave
Ste 103
San Antonio, TX 78214

5525 Blanco Rd
Ste 102
San Antonio, TX 78216
Phone (210) 464-6020

3710 Roosevelt Ave
San Antonio, TX 78214

1009 NW Loop 410
San Antonio, TX 78213
Phone (210) 366-1021

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

1923 Culebra Rd
San Antonio, TX 78201

5000 Baptist Health Dr
Ste 117
Schertz, TX 78154
Phone (210) 626-8201

519 N King St
Ste 101
Seguin, TX 78155
Phone (830) 272-0210

17766 Verde Pkwy
Ste 210
Selma, TX 78154

2009 Pat Booker Rd
Universal Cty, TX 78148
Phone (210) 659-4425

5253 Walzem Rd
Ste 2
Windcrest, TX 78218
Phone (210) 599-0456

Organizations & group practices 6

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1124845359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINKUGBE",
        "first_name": "OYINDAMOLA",
        "middle_name": "STELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "976836",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1189873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.