Individual provider Active NPI

Joy Isioma Odafe, NP-C

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1528480217
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
732803 Issued in TX
Practice address
7821 FM 1960 Rd E
Humble, TX 77346-2205
Phone
(832) 966-3376
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 732803 TX Primary

Addresses

Primary practice location

7821 FM 1960 Rd E
Humble, TX 77346-2205

Mailing address

7821 FM 1960 Rd E
Humble, TX 77346-2205
Phone (832) 966-3376

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
I20160406002211 TX Practitioner - Nurse Practitioner 3577725142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rajiv Agarwal MD PAGroup PAC ID 6305184011, 21 clinicians

Practice addresses (Care Compare)

18980 W Memorial Dr
Suite 100
Humble, TX 77338-4559
Phone 8326448930120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
732803TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Oct 6, 2020 Accepting new patients
Rajiv Agarwal MD PA Current Accepting new patients
Rajiv Agarwal MD PA CurrentSince Oct 1, 2024 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Oct 6, 2020 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

18835 McKay Dr
Humble, TX 77338
Phone (832) 644-8930

7821 FM 1960 Rd E
Humble, TX 77346
Phone (832) 966-3376

18980 W Memorial Dr
Ste 100
Humble, TX 77338
Phone (832) 644-8930

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACGBD

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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1528480217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7821 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462205",
            "telephone_number": "832-966-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462205",
            "telephone_number": "832-966-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODAFE",
        "first_name": "JOY",
        "middle_name": "ISIOMA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "732803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.