Olusola Tessy Agboola

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1035548 Issued in TX

Practice address

26265 Northwest Fwy
Cypress, TX 77429-1760

Phone

(281) 758-0092

NPI assigned

Aug 22, 2021

Last updated

Nov 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, KS, SD3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: olusola.agboola.1@30520.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minuteclinic Telehealth Services of Texas Association

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1922564301
  Medicare reassignment NPD
• Perfection Care PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1043902935
  NPD Authorized official
• Doctor on Demand Professionals of Kansas, P.a.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1881477339

  KS

  Medicare reassignment
• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  SD

  Medicare reassignment

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1508532227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32923 SILVER MEADOW WAY",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774232885",
            "telephone_number": "763-291-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26265 NORTHWEST FWY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291760",
            "telephone_number": "281-758-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOOLA",
        "first_name": "OLUSOLA",
        "middle_name": "TESSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affectionate Healthcare LLC
• Aft Healthcare LLC
• Chioma Afulezi, LCSW
• Agape Ambulance Services Inc (Texas Pro Care EMS Inc)
• Sophia Etomi Agbomah, CRNA
• Kiara Agent
• Savannah Paige Ager, RBT
• Agerite Pharmacy LLC (AGErite Pharmacy & Wellness Center)
• Agewell Dermatology, PLLC
• Agilitas USA, Inc (Results Physiotherapy)

• Family Nurse Practitioner in Cypress, TX
• Providers in Cypress, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.