Individual provider Active NPI

Wemimo Anike Ojetunde

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring, TX
National Provider Identifier
1528858800
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1197272 Issued in TX
Practice address
8701 New Trails Dr Ste 150
Spring, TX 77381-4546
Phone
(832) 512-7750
NPI assigned
May 9, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1197272 TX Primary

Addresses

Primary practice location

8701 New Trails Dr Ste 150
Spring, TX 77381-4546

Mailing address

8701 New Trails Dr Ste 150
Spring, TX 77381-4546
Phone (832) 512-7750

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
I20251202001247 TX Practitioner - Nurse Practitioner 5193218881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3411 Cedar Knolls Dr
Suite B
Kingwood, TX 77339-2482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1197272TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bharath G Raj CurrentSince Oct 15, 2025 Accepting new patients

Locations

3411 Cedar Knolls Dr
Ste B
Kingwood, TX 77339
Phone (281) 532-5462

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1528858800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 NEW TRAILS DR STE 150",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773814546",
            "telephone_number": "832-512-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 NEW TRAILS DR STE 150",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773814546",
            "telephone_number": "832-512-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJETUNDE",
        "first_name": "WEMIMO",
        "middle_name": "ANIKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-06-05",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1197272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.