Innocent Ogbede

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1091155 Issued in TX

Practice address

6302 Broadway St Ste 130
Pearland, TX 77581-7859

Phone

(832) 821-9159

NPI assigned

Mar 17, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1154023877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706C FM 528 RD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 BROADWAY ST STE 130",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775817859",
            "telephone_number": "832-821-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBEDE",
        "first_name": "INNOCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1091155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olufunke A Odetunde, MD
• Millicent Odhiambo, RN
• Janel Odigie
• Kehinde Adedapo Odutola, PHARM. D
• Anthonia Ogamba
• Orobosa Emmanuel Oghide, FNP-C
• Adebola Ogunbiyi, NP
• Emma Akinyi Ogunda, FNP-C
• Adeola Ogunlana, AGPCNP-C
• Stephanie Ogunrinade

• Psychiatric/Mental Health Nurse Practitioner in Pearland, TX
• Providers in Pearland, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.