Individual provider Active NPI

Taiwo Itunuoluwa Abioye, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1366060279
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1002449 Issued in TX
Practice address
7362 Remcon Cir
El Paso, TX 79912-1623
Phone
(940) 400-9066
Fax
(915) 257-6295
NPI assigned
Jul 7, 2020
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1002449 TX Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 896980 TX

Addresses

Primary practice location

7362 Remcon Cir
El Paso, TX 79912-1623

Mailing address

7362 Remcon Cir
El Paso, TX 79912-1623
Phone (940) 400-9066

Other practice location 1

6028 Surety Dr
El Paso, TX 79905-2018
Phone (915) 544-3500

Other identifiers 1

IdentifierTypeStateIssuer
1366060279MedicaidTX

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
I20220901003102 TX Practitioner - Nurse Practitioner 9931583366 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
896980TXMDPsychiatric/Mental Health Registered Nurse
1002449TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 23, 2024 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Health and Human Services Commission CurrentSince Jun 1, 2022 Accepting new patients
Health and Human Services Commission CurrentSince Jun 1, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

6700 Delta Dr
El Paso, TX 79905
Phone (915) 782-6300

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1366060279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 REMCON CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121623",
            "telephone_number": "940-400-9066",
            "fax_number": "915-257-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 REMCON CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121623",
            "telephone_number": "940-400-9066",
            "fax_number": "915-257-6295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6028 Surety Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052018",
            "country_code": "US",
            "telephone_number": "915-544-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIOYE",
        "first_name": "TAIWO",
        "middle_name": "ITUNUOLUWA",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1002449",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "896980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366060279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.