Organization Active NPI

Amidom Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1477484079
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMIDOM HEALTHCARE PLLC
Practice address
6702 Zavala CT
Katy, TX 77493-4709
Phone
(215) 254-9924
NPI assigned
May 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Mrs. Olusemiloore OmotuyiNPI 1174315766
Title
Pmhnp
Phone
(215) 254-9924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6702 Zavala CT
Katy, TX 77493-4709

Mailing address

6702 Zavala CT
Katy, TX 77493-4709
Phone (215) 254-9924

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1477484079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 ZAVALA CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934709",
            "telephone_number": "215-254-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 ZAVALA CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934709",
            "telephone_number": "215-254-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIDOM HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "OMOTUYI",
        "authorized_official_first_name": "OLUSEMILOORE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "215-254-9924",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.