Organization Active NPI

Atlas Visiting Providers LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1174092092
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ATLAS VISITING PROVIDERS LLC
Practice address
100 Glenborough Dr Ste 550
Houston, TX 77067-3600
Phone
(469) 916-1906
Fax
(469) 916-3641
NPI assigned
Nov 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Mr. Kamaldeen Isiaka, FNP-BCNPI 1750794822
Title
Owning Member
Phone
(469) 916-1906

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

100 Glenborough Dr Ste 550
Houston, TX 77067-3600

Mailing address

100 Glenborough Dr Ste 550
Houston, TX 77067-3600
Phone (469) 916-1906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190107000204 TX Part B Supplier - Clinic/Group Practice 9931445335 Receives reassigned benefits from 4 practitioners
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

3440 Corinth Pkwy
Corinth, TX 76208
Phone (940) 321-9933

1701 W Northwest Hwy
Ste 240
Grapevine, TX 76051
Phone (214) 385-2808

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": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1174092092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLENBOROUGH DR STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673600",
            "telephone_number": "469-916-1906",
            "fax_number": "469-916-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENBOROUGH DR STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673600",
            "telephone_number": "469-916-1906",
            "fax_number": "469-916-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS VISITING PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ISIAKA",
        "authorized_official_first_name": "KAMALDEEN",
        "authorized_official_title_or_position": "OWNING MEMBER",
        "authorized_official_telephone_number": "469-916-1906",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Aug 3, 2026; 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.