Individual provider Active NPI

Taiwo Adeola Elemuren, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1215319983
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP131133 Issued in TX
Practice address
3200 Wilcrest Dr Ste 170
Houston, TX 77042-3366
Phone
(832) 271-7168
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95002413 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP131133 TX Primary
Nurse Practitioner 363L00000X AP131133 TX
Nurse Practitioner 363L00000X 95002413 CA

Addresses

Primary practice location

3200 Wilcrest Dr Ste 170
Houston, TX 77042-3366

Mailing address

6934 Rosalina Landing LN
Richmond, TX 77407-2322
Phone (323) 445-3391

Other practice location 1

1300 N Vermont Ave
Suite 407
Los Angeles, CA 90027-6005
Phone (323) 662-0492

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eleanor Health Professional Oh, LLCGroup PAC ID 7618384447, 6 clinicians
Eleanor Health Professional TX, PLLCGroup PAC ID 9335527118, 16 clinicians

Practice addresses (Care Compare)

25 N Canfield Niles Rd
Suite 30
Youngstown, OH 44515-2308
Phone (330) 355-3153

789 White Pond Dr
Suite C
Akron, OH 44320-4203
Phone (330) 355-3153

8500 Village Dr
Suite 101
San Antonio, TX 78217-5510
Phone (726) 201-3047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131133TXMDPsychiatric/Mental Health Nurse Practitioner
95002413CAMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: taiwo.elemurenrnp.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 2

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1215319983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 ROSALINA LANDING LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072322",
            "telephone_number": "323-445-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WILCREST DR STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423366",
            "telephone_number": "832-271-7168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N Vermont Ave",
            "address_2": "Suite 407",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276005",
            "country_code": "US",
            "telephone_number": "323-662-0492",
            "fax_number": "323-662-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELEMUREN",
        "first_name": "TAIWO",
        "middle_name": "ADEOLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95002413",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP131133",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131133",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.