Individual provider Active NPI

Abosede Bolanle Okuwa

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1366936312
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137770 Issued in TX
Practice address
1914 English Elm St
Houston, TX 77067-3941
Phone
(713) 300-4643
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137770 TX Primary

Addresses

Primary practice location

1914 English Elm St
Houston, TX 77067-3941

Mailing address

1914 English Elm St
Houston, TX 77067-3941
Phone (713) 300-4643

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
I20191115001126 TX Practitioner - Nurse Practitioner 7911002308 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 24, 2019 Accepting new patients
Astute Healthcare Clinic Family CurrentSince Jun 23, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 24, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 24, 2019 Accepting new patients
Special Care Health Services Inc PastSince Apr 30, 2003 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

719 Sawdust Rd
Ste 112
Spring, TX 77380
Phone (713) 300-4643

Organizations & group practices 6

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1366936312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 ENGLISH ELM ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673941",
            "telephone_number": "713-300-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 ENGLISH ELM ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673941",
            "telephone_number": "713-300-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUWA",
        "first_name": "ABOSEDE",
        "middle_name": "BOLANLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.