Individual provider Active NPI

Modupe Adetutu Allen, FNP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1245708544
Registry record updated Dec 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139893 Issued in TX
Practice address
14007 Sea Myrtle LN
Sugar Land, TX 77498-2095
Phone
(281) 701-9729
NPI assigned
Nov 5, 2018
Last updated
Dec 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL email 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201002717 TX Practitioner - Nurse Practitioner 6507277266 Reassigns benefits to 8 organizations

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
Accura Health II LLCGroup PAC ID 7911303391, 7 clinicians
Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians
Trumen Physicians and Associates PLLCGroup PAC ID 7618006883, 133 clinicians

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

LicenseStateTypeSpecialty
F10181507TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trumen Physicians and Associates PLLC Family CurrentSince Nov 1, 2024 Accepting new patients
Dal Post Acute Partners, PLLC Family CurrentSince Nov 14, 2024 Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Sep 22, 2020 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Mar 4, 2024 Accepting new patients
Vpa of Texas PLLC Family Medicine Current Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Sep 22, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Express Medical Services CurrentSince Oct 17, 2022 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

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.