Individual provider Active NPI

Olufunmilola Kehinde Atandeyi, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1376774091
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
747246 Issued in TX
Practice address
1341 Blalock Rd
Houston, TX 77055-6427
Phone
(713) 468-7821
Fax
(713) 583-7948
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 004115 CT
Family Nurse Practitioner 363LF0000X 747246 TX Primary

Addresses

Primary practice location

1341 Blalock Rd
Houston, TX 77055-6427

Mailing address

1908 N Laurent St Ste 250
Victoria, TX 77901-5417
Phone (361) 576-0694

Other practice location 1

10800 Flora Mae Meadows Rd
Houston, TX 77089-5974
Phone (832) 328-2350

Other names 1

  • Olufunmilola Kehinde Fapohunda Former name

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
I20180214000261 TX Practitioner - Nurse Practitioner 9739235227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Journey Medical Care Group PLLC 25 clinicians

Practice addresses (Care Compare)

8313 Southwest Fwy
Suite 105
Houston, TX 77074-1612
Phone (713) 773-1102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004115CTMDSpeech-Language Pathologist
747246TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services of Houston and Associates I, PLLC Family CurrentSince Jan 3, 2018 Accepting new patients
Journey Medical Care Group PLLC CurrentSince Sep 12, 2025 Accepting new patients

Locations

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

8313 Southwest Fwy
Ste 105
Houston, TX 77074
Phone (713) 773-1102

1341 Blalock Rd
Houston, TX 77055
Phone (713) 468-7821

10800 Flora Mae Meadows Rd
Houston, TX 77089
Phone (832) 328-2350

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571

6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1376774091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST STE 250",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015417",
            "telephone_number": "361-576-0694",
            "fax_number": "713-583-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 BLALOCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556427",
            "telephone_number": "713-468-7821",
            "fax_number": "713-583-7948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Flora Mae Meadows Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770895974",
            "country_code": "US",
            "telephone_number": "832-328-2350",
            "fax_number": "713-583-7948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATANDEYI",
        "first_name": "OLUFUNMILOLA",
        "middle_name": "KEHINDE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "747246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUFUNMILOLA",
            "last_name": "FAPOHUNDA",
            "middle_name": "KEHINDE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.