Active NPI
Taiwo Adeola Elemuren, NP
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP131133
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP131133 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| 95002413 | CA | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- 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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- San Antonio, TX
- NPI 1932854981
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Akron, OH
- NPI 1730782475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.