Active NPI
Ediomi Enebong Oduwole, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 8117
- Practice address
- 24 Greenway PLZ Ste 1800
Houston, TX 77046-2457 - Phone
- (507) 353-2419
- Fax
- (507) 607-8967
- NPI assigned
- Aug 7, 2019
- Last updated
- May 13, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP142164 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8117 | MN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 82079 | KS |
Addresses
Primary practice location
24 Greenway PLZ Ste 1800
Houston, TX 77046-2457
Mailing address
24 Greenway PLZ Ste 1800
Houston, TX 77046-2457
Phone (507) 353-2419
Other practice location 1
6611 E Central Ave Ste C
Wichita, KS 67206-1937
Phone (507) 353-2419
Other practice location 2
7201 Metro Blvd Ste 550
Edina, MN 55439-1353
Phone (507) 353-2419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MN, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4925 S Broadway Ave
Suite 1077
Wichita, KS 67216-3716
Phone (507) 353-2419
5123 W 98TH St
Suite 2023
Minneapolis, MN 55437-2040
Phone (832) 206-1265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8117 | MN | MD | Physical Therapist |
| 82079 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Pleasant Place Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group of Kansas PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Western Mental Health Center, Inc. | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
4925 S Broadway Ave
Wichita, KS 67216
Phone (316) 227-1989
6611 E Central Ave
Ste C
Wichita, KS 67206
Phone (316) 650-1877
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236
5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490
7201 Metro Blvd
Ste 550
Minneapolis, MN 55439
Phone (612) 208-6807
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
1415 North Loop W
Ste 30014
Houston, TX 77008
Phone (321) 413-1411
24 Greenway Plz
Ste 1800
Houston, TX 77046
Phone (281) 262-2230
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/wmhcinc/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
- NPI 1558042218
KS, MN
-
- Mental Health Counselor
- Wichita, KS
- NPI 1831848316
Psychiatric/Mental Health
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
MN, Psychiatric/Mental Health, TX
-
- Mental Health Counselor
- Marshall, MN
- NPI 1982613311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1356996326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GREENWAY PLZ STE 1800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770462457",
"telephone_number": "507-353-2419",
"fax_number": "507-607-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 GREENWAY PLZ STE 1800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770462457",
"telephone_number": "507-353-2419",
"fax_number": "507-607-8967"
}
],
"practiceLocations": [
{
"address_1": "6611 E Central Ave Ste C",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672061937",
"country_code": "US",
"telephone_number": "507-353-2419",
"fax_number": "507-607-8967",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7201 Metro Blvd Ste 550",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554391353",
"country_code": "US",
"telephone_number": "507-353-2419",
"fax_number": "507-607-8967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODUWOLE",
"first_name": "EDIOMI",
"middle_name": "ENEBONG",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP142164",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "8117",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "82079",
"primary": false
}
],
"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 May 13, 2026; 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.