Active NPI
Odette Tiranke Kourouma, NP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP126172
- Practice address
- 14629 Memorial Dr
Houston, TX 77079-7500 - Phone
- (281) 589-8500
- NPI assigned
- Nov 6, 2014
- 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 | AP126172 | TX | Primary |
Addresses
Primary practice location
14629 Memorial Dr
Houston, TX 77079-7500
Mailing address
14629 Memorial Dr
Houston, TX 77079-7500
Phone (281) 589-8500
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100
1331 Northpark Dr
Kingwood, TX 77339-1636
Phone (281) 359-5330
15320 Hwy 105 W
Suite 120
Montgomery, TX 77356-2602
Phone (936) 582-5660
3415 FM 762 Rd
Suite 180
Richmond, TX 77469-5580
Phone (281) 699-5680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP126172 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Southlake Doctors Express, PA PSC | Current | Accepting new patients | |
| Doctors Express of the Beaumont Area PA | Current | Accepting new patients | |
| Normandy Urgent Care Center PA | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Advanced Practice House Calls LLC | Family | Current | Accepting new patients |
| West Houston Medical Services | Current | Accepting new patients | |
| Providence Physician Associates | Current | Accepting new patients | |
| Brazos Medical Center | Past | Accepting new patients | |
| Normandy Urgent Care Center PA | Past | Accepting new patients | |
| Doctors Express of the Temple Area, PA | Past | Accepting new patients | |
| Advance Pharmacy LLC | Past | Accepting new patients |
Locations
596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010
8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354
3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888
779 Normandy St
Ste 114
Houston, TX 77015
Phone (713) 453-8900
6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181
2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407
14629 Memorial Dr
Houston, TX 77079
Phone (281) 589-8500
6302 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (832) 831-9094
9504 Long Point Rd
Ste E
Houston, TX 77055
Phone (713) 461-3535
6930 FM 1960 Rd W
Houston, TX 77069
Phone (713) 554-6300
6306 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (713) 732-4677
6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980
1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590
3415 FM 762 Rd
Ste 180
Richmond, TX 77469
Phone (281) 699-5680
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240
2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922
Interoperability endpoints
- odette.kouroumafnp.p6@direct.nextcare.nextgenshare.com
Organizations & group practices 12
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.
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1841525235
-
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- General Practice Physician
- Houston, TX
- NPI 1407171077
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1760919880
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1922383959
-
- Urgent Care Clinic/Center
- Southlake, TX
- NPI 1942519335
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1962771733
-
- Family Medicine Physician
- Houston, TX
- NPI 1811453293
-
- Urgent Care Clinic/Center
- Temple, TX
- NPI 1568696227
-
- General Practice Physician
- Houston, TX
- NPI 1598128787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1134525868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14629 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770797500",
"telephone_number": "281-589-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14629 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770797500",
"telephone_number": "281-589-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUROUMA",
"first_name": "ODETTE",
"middle_name": "TIRANKE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP126172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.