Individual provider Active NPI

Ehiosu Patrick Omorodion

  • Registered Nurse
  • Dallas, TX
National Provider Identifier
1225942436
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
950454 Issued in TX
Practice address
7650 McCallum Blvd Apt 1801
Dallas, TX 75252-7512
Phone
(703) 309-6548
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 950454 TX Primary

Addresses

Primary practice location

7650 McCallum Blvd Apt 1801
Dallas, TX 75252-7512

Mailing address

7650 McCallum Blvd Apt 1801
Dallas, TX 75252-7512

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1225942436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 MCCALLUM BLVD APT 1801",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752527512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 MCCALLUM BLVD APT 1801",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752527512",
            "telephone_number": "703-309-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMORODION",
        "first_name": "EHIOSU",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "950454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.