NPIMap

Organization Active NPI

Fusion Care PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1154973378
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FUSION CARE PLLC
Practice address
23410 Grand Reserve Dr Ste 705
Katy, TX 77494-4983
Phone
(713) 839-5277
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Olaide AkinyinkaNPI 1932637097
Title
Advanced Practice Nurse
Phone
(713) 839-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

23410 Grand Reserve Dr Ste 705
Katy, TX 77494-4983

Mailing address

23410 Grand Reserve Dr Ste 705
Katy, TX 77494-4983
Phone (713) 839-5277

Other names 1

  • OLAIDE AKINYINKA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211221002024 TX Part B Supplier - Clinic/Group Practice 2466843776 Receives reassigned benefits from 3 practitioners
Practice locations: Cypress, TX; Katy, TX; Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1154973378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23410 GRAND RESERVE DR STE 705",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944983",
            "telephone_number": "713-839-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23410 GRAND RESERVE DR STE 705",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944983",
            "telephone_number": "713-839-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "AKINYINKA",
        "authorized_official_first_name": "OLAIDE",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "713-839-5277"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLAIDE AKINYINKA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OLAIDE AKINYINKA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.