Individual provider Active NPI

Omosede Uwaifo, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1255649596
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138412 Issued in TX
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

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
632814NYMDRegistered Nurse
F345337NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Hybrid Pharmacy LLC CurrentSince May 20, 2022 Accepting new patients
Bronx Medical Practice P.C. Past Accepting new patients
Ucxtra Umbrella, LLC PastSince May 14, 2023 Accepting new patients
Cano Health, LLC PastSince Aug 1, 2022 Accepting new patients

Locations

545 Minonite Rd
Ste 110
Rosenberg, TX 77469
Phone (832) 930-8399

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.