Active NPI
Omosede Uwaifo, NP
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1255649596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP138412
- Practice address
- 5718 Westheimer Rd FL 4
Houston, TX 77057-5745 - Phone
- (917) 214-9997
- Fax
- (281) 895-3083
- NPI assigned
- Sep 21, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 632814 | NY | |
| Family Nurse Practitioner | 363LF0000X | F345337 | NY | |
| Family Nurse Practitioner | 363LF0000X | AP138412 | TX | Primary |
Addresses
Primary practice location
5718 Westheimer Rd FL 4
Houston, TX 77057-5745
Mailing address
5718 Westheimer Rd Ste 400
Houston, TX 77057-5733
Phone (917) 214-9997
Other practice location 1
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632814 | NY | MD | Registered Nurse |
| F345337 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Hybrid Pharmacy LLC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Past | Accepting new patients | |
| Ucxtra Umbrella, LLC | Past | Accepting new patients | |
| Cano Health, LLC | Past | Accepting new patients |
Locations
545 Minonite Rd
Ste 110
Rosenberg, TX 77469
Phone (832) 930-8399
Interoperability endpoints
- omosede.uwaifo.1@30520.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pharmacy
- Rosenberg, TX
- NPI 1649750969
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Multi-Specialty Clinic/Center
- Pembroke Pines, FL
- NPI 1689901688
-
- Urgent Care Clinic/Center
- Chandler, AZ
- NPI 1518952365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1255649596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 WESTHEIMER RD STE 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575733",
"telephone_number": "917-214-9997",
"fax_number": "281-895-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 WESTHEIMER RD FL 4",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575745",
"telephone_number": "917-214-9997",
"fax_number": "281-895-3083"
}
],
"practiceLocations": [
{
"address_1": "2015 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104534303",
"country_code": "US",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UWAIFO",
"first_name": "OMOSEDE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "632814",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F345337",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP138412",
"primary": true
}
],
"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 Oct 28, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.