NPIMap

Organization Active NPI

Enriched Lives Health Services

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1538736384
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ENRICHED LIVES HEALTH SERVICES
Doing business as
Enriched Lives Health Services
Practice address
24044 Cinco Village Center Blvd Ste 100
Katy, TX 77494-8433
Phone
(832) 323-4221
Fax
(832) 323-4220
NPI assigned
Jun 9, 2021
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Mrs. Oyinlola Oludiran, FNPNPI 1063882306
Title
FNP/Owner
Phone
(832) 867-6822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

24044 Cinco Village Center Blvd Ste 100
Katy, TX 77494-8433

Mailing address

24044 Cinco Village Center Blvd Ste 100
Katy, TX 77494-8433

Other names 1

  • Enriched Lives Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622000440 TX Part B Supplier - Clinic/Group Practice 9436517794 Receives reassigned benefits from 3 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

505 Main St
#5
Fort Worth, TX 76102

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1538736384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24044 CINCO VILLAGE CENTER BLVD STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948433",
            "fax_number": "832-323-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24044 CINCO VILLAGE CENTER BLVD STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948433",
            "telephone_number": "832-323-4221",
            "fax_number": "832-323-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHED LIVES HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "OLUDIRAN",
        "authorized_official_first_name": "OYINLOLA",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "832-867-6822",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enriched Lives Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enriched Lives Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.