Individual provider Active NPI

Olabode Ajasa

  • Licensed Vocational Nurse
  • Houston, TX
National Provider Identifier
1497255384
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
207539 Issued in TX
Practice address
19802 Youpon Leaf Way
Houston, TX 77084-3384
Phone
(832) 266-3800
NPI assigned
Feb 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 207539 TX Primary
Licensed Practical Nurse 164W00000X 207539 TX

Addresses

Primary practice location

19802 Youpon Leaf Way
Houston, TX 77084-3384

Mailing address

19802 Youpon Leaf Way
Houston, TX 77084-3384
Phone (832) 266-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
207539TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1497255384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19802 YOUPON LEAF WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843384",
            "telephone_number": "832-266-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19802 YOUPON LEAF WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843384",
            "telephone_number": "832-266-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJASA",
        "first_name": "OLABODE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "207539",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "207539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.