Individual provider Active NPI

Oluwatoyin Omodaratan

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1205574035
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1074760 Issued in TX
Practice address
28707 Wallman Falls Dr
Katy, TX 77494-6783
Phone
(646) 785-0069
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1074760 TX Primary

Addresses

Primary practice location

28707 Wallman Falls Dr
Katy, TX 77494-6783

Mailing address

28707 Wallman Falls Dr
Katy, TX 77494-6783

Other practice location 1

28707 Wallman Falls Dr
Katy, TX 77494-6783
Phone (646) 785-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220810003638 TX Practitioner - Nurse Practitioner 4486037363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bee Focus Iop, LLCGroup PAC ID 7113365453, 2 clinicians

Practice addresses (Care Compare)

9896 Bissonnet St
Suite 510
Houston, TX 77036-8156
Phone (832) 776-4488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1074760TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Focus Iop, LLC CurrentSince Sep 24, 2025 Accepting new patients
Solid Foundation Psychiatry PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 30, 2022 Accepting new patients
Bee Focus Transportation LLC PastSince Sep 24, 2025 Accepting new patients

Locations

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

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

9896 Bissonnet St
Ste 510
Houston, TX 77036
Phone (832) 570-3506

6302 Broadway St
Ste 130
Pearland, TX 77581
Phone (281) 485-0820

Organizations & group practices 4

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1205574035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28707 WALLMAN FALLS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28707 WALLMAN FALLS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946783",
            "telephone_number": "646-785-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28707 Wallman Falls Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946783",
            "country_code": "US",
            "telephone_number": "646-785-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMODARATAN",
        "first_name": "OLUWATOYIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1074760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.