Individual provider Active NPI

Temilayo Temilade Owolabi, NP- FAMILY

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1174116420
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
657789 Issued in TX
Practice address
3122 Orchard Bend Dr
Sugar Land, TX 77498-7312
Phone
(832) 526-5445
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 657789 TX Primary

Addresses

Primary practice location

3122 Orchard Bend Dr
Sugar Land, TX 77498-7312

Mailing address

3122 Orchard Bend Dr
Sugar Land, TX 77498-7312
Phone (832) 526-5445

Other names 1

  • Temi Temilade Owolabi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
657789TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1174116420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 ORCHARD BEND DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987312",
            "telephone_number": "832-526-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 ORCHARD BEND DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987312",
            "telephone_number": "832-526-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOLABI",
        "first_name": "TEMILAYO",
        "middle_name": "TEMILADE",
        "credential": "NP- FAMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "657789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEMI",
            "last_name": "OWOLABI",
            "middle_name": "TEMILADE",
            "credential": "NP - FAMILY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.