Individual provider Active NPI

Fidelia Adomako Asante-Ansong, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1134909450
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1138239 Issued in TX
Practice address
633 E Fernhurst Dr Ste 501
Katy, TX 77450-1589
Phone
(281) 378-4892
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10020621 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028512 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 328453 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1138239 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010622 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024189063 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12168 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 120916 WV

Addresses

Primary practice location

633 E Fernhurst Dr Ste 501
Katy, TX 77450-1589

Mailing address

27922 Colonial Point Dr
Katy, TX 77494-3712
Phone (703) 732-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, OR, MN, DC, DE, AZ, MT8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20240822004763 TX Practitioner - Nurse Practitioner 9739628645 Reassigns benefits to 3 organizations
I20241021001601 CA Practitioner - Nurse Practitioner 9739628645 Reassigns benefits to 2 organizations
I20250115002246 OR Practitioner - Nurse Practitioner 9739628645 Reassigns benefits to 1 organization
I20250115003032 MN Practitioner - Nurse Practitioner 9739628645 Reassigns benefits to 1 organization
I20250117000246 DC Practitioner - Nurse Practitioner 9739628645 Reassigns benefits to 1 organization
I20250728000694 DE Practitioner - Nurse Practitioner 9739628645 Reassigns benefits to 1 organization
I20251114001997 AZ Practitioner - Nurse Practitioner 9739628645 Reassigns benefits to 1 organization
I20260330003219 MT Practitioner - Nurse Practitioner 9739628645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (415) 360-3348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328453AZMDPsychiatric/Mental Health Nurse Practitioner
95028512CAMDPsychiatric/Mental Health Nurse Practitioner
L8-0010622DEMDPsychiatric/Mental Health Nurse Practitioner
10020621ORMDPsychiatric/Mental Health Nurse Practitioner
0024189063VAMDPsychiatric/Mental Health Nurse Practitioner
120916WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Aug 16, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 9, 2024 Accepting new patients
Brightside Medical, P.C. CurrentSince Nov 1, 2025 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1134909450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27922 COLONIAL POINT DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943712",
            "telephone_number": "703-732-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 501",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501589",
            "telephone_number": "281-378-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASANTE-ANSONG",
        "first_name": "FIDELIA",
        "middle_name": "ADOMAKO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10020621",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028512",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "328453",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1138239",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010622",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024189063",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12168",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "120916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.