Active NPI
Omotola Akinmusire
- Family Nurse Practitioner
- Richmond, TX
National Provider Identifier
1306401187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1180819
- Practice address
- 17330 Woodfalls LN
Richmond, TX 77407-2629 - Phone
- (832) 461-3843
- NPI assigned
- May 7, 2019
- Last updated
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1180819 | TX | Primary |
Addresses
Primary practice location
17330 Woodfalls LN
Richmond, TX 77407-2629
Mailing address
17330 Woodfalls LN
Richmond, TX 77407-2629
Phone (832) 461-3843
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verdure Health Services | Current | Accepting new patients |
Locations
105 Decker Ct
Ste 140
Irving, TX 75062
Phone (210) 201-4546
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1801495940
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1306401187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17330 WOODFALLS LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072629",
"telephone_number": "832-461-3843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17330 WOODFALLS LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072629",
"telephone_number": "832-461-3843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINMUSIRE",
"first_name": "OMOTOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1180819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.