Individual provider Active NPI

Susan O. Ajayi, FNP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1447893276
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1129277 Issued in TX
Practice address
13977 Westheimer Rd Ste D
Houston, TX 77077-5386
Phone
(713) 360-2980
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 1129277 TX Primary
Family Nurse Practitioner 363LF0000X 1129277 TX

Addresses

Primary practice location

13977 Westheimer Rd Ste D
Houston, TX 77077-5386

Mailing address

13977 Westheimer Rd Ste D
Houston, TX 77077-5386
Phone (713) 360-2980

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
I20240714000080 TX Practitioner - Nurse Practitioner 4789129727 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Group PLLC Single Specialty CurrentSince Feb 24, 2025 Accepting new patients
Centrum Medical Group, PLLC Single Specialty CurrentSince Feb 24, 2025 Accepting new patients
Stafford Family Practice PLLC Single Specialty CurrentSince Apr 14, 2024 Accepting new patients
Texas Innovative Medics PLLC Single Specialty CurrentSince Jun 16, 2024 Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

17515 Spring Cypress Rd
Unit 1
Cypress, TX 77429

10934 I 10 East Fwy
Houston, TX 77029
Phone (713) 450-2838

13977 Westheimer Rd
Ste D
Houston, TX 77077
Phone (281) 558-4300

8102 Antoine Dr
Houston, TX 77088
Phone (713) 360-2980

7077 Highway 6 N
Houston, TX 77095
Phone (281) 815-1644

8498 S Sam Houston Pkwy E
Ste 100
Houston, TX 77075
Phone (832) 831-3974

1463 S Mason Rd
Katy, TX 77450
Phone (281) 771-1166

705 E Marshall Ave
Ste 3001
Longview, TX 75601
Phone (903) 230-9811

4894 Louetta Rd
Spring, TX 77388
Phone (281) 288-9229

203 Brand Ln
Ste 35
Stafford, TX 77477
Phone (281) 598-6614

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1447893276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13977 WESTHEIMER RD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775386",
            "telephone_number": "713-360-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13977 WESTHEIMER RD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775386",
            "telephone_number": "713-360-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "SUSAN",
        "middle_name": "O.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1129277",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.