Individual provider Active NPI

Ann Awotesu

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1538629944
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140287 Issued in TX
Practice address
7211 Regency Square Blvd Ste 210
Houston, TX 77036-3193
Phone
(832) 251-3311
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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 AP140287 TX Primary

Addresses

Primary practice location

7211 Regency Square Blvd Ste 210
Houston, TX 77036-3193

Mailing address

9431 Eaglewood Spring Dr
Houston, TX 77083-5130

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 Bohannon Dr
Suite 100
Menlo Park, CA 94025-1037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP140287TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Anchor Home Health Services, Inc. Past Accepting new patients
Palm Health Services LLC Past Accepting new patients

Organizations & group practices 2

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1538629944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 EAGLEWOOD SPRING DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 REGENCY SQUARE BLVD STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363193",
            "telephone_number": "832-251-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOTESU",
        "first_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.