Active NPI
Modupe Adetutu Allen, FNP
- Family Nurse Practitioner
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139893
- Practice address
- 14007 Sea Myrtle LN
Sugar Land, TX 77498-2095 - Phone
- (281) 701-9729
- NPI assigned
- Nov 5, 2018
- Last updated
- Dec 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139893 | TX | Primary |
| Family Medicine Physician | 207Q00000X | F10181507 | TX |
Addresses
Primary practice location
14007 Sea Myrtle LN
Sugar Land, TX 77498-2095
Mailing address
14007 Sea Myrtle LN
Sugar Land, TX 77498-2095
Phone (281) 701-9729
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1143 Rockingham Dr
Suite 107
Richardson, TX 75080-4327
Phone (214) 987-2100
14007 Sea Myrtle LN
Sugar Land, TX 77498-2095
Phone (281) 701-9729
2626 S Loop W
Suite 265
Houston, TX 77054-5636
Phone (713) 796-9955
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10181507 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumen Physicians and Associates PLLC | Family | Current | Accepting new patients |
| Dal Post Acute Partners, PLLC | Family | Current | Accepting new patients |
| Vpa of Texas PLLC | Family Medicine | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Texas PLLC | Family | Current | Accepting new patients |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Family Medicine | Current | Accepting new patients |
| Minuteclinic Diagnostic of Texas PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Express Medical Services | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190
12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 364-9023
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
2626 S Loop W
Ste 265
Houston, TX 77054
Phone (713) 796-9955
5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289
7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
9522 Broadway St
Pearland, TX 77584
Phone 7134368151 ext. 8221
1143 Rockingham Dr
Ste 107
Richardson, TX 75080
Phone (214) 987-2100
1143 Rockingham Dr
Ste 107A
Richardson, TX 75080
Phone (972) 559-4150
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Accura Health MC
- Internal Medicine Physician
- Richardson, TX
- NPI 1174298350
Family
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1891412193
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1134442320
Family
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1316801004
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1609076330
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Clinical Social Worker
- Katy, TX
- NPI 1740898188
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1326667536
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670630400000",
"number": "1245708544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14007 SEA MYRTLE LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774982095",
"telephone_number": "281-701-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14007 SEA MYRTLE LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774982095",
"telephone_number": "281-701-9729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "MODUPE",
"middle_name": "ADETUTU",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2022-12-10",
"certification_date": "2022-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP139893",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F10181507",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "email",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14007 Sea Myrtle Ln",
"city": "Sugar Land",
"state": "TX",
"country_code": "US",
"postal_code": "774982095",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sugar Land, TX
- Allen Chen DDS, P.C.
- Dwayne Allen
- Jaqueline Allen, PT
- Kelvin Douglas Allen, RN, ACNP
- Margaret J Allen, DDS
- Monique Hermel Allen
- Allergy & Asthma Care of Houston, PA
- Allergy & ENT Associates, PLLC
- Allied Family Dentistry P.C (Allied Family Dentistrry P.C)
- Allied Hospice & Palliative Care Incorporated (Allied Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; 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.