Individual provider Active NPI

Kudirat Folorunsho Sunmonu, NP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1548777915
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134751 Issued in TX
Practice address
77 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 77478-3688
Phone
(832) 474-2053
NPI assigned
Jan 5, 2018
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 786687 TX
Family Nurse Practitioner 363LF0000X AP134751 TX Primary

Addresses

Primary practice location

77 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 77478-3688

Mailing address

77 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 77478-3688
Phone (832) 474-2053

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
I20220817001102 TX Practitioner - Nurse Practitioner 9436532876 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
786687TXMDFamily Medicine Physician
AP134751TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Update Family Clinic LLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients

Locations

77 Sugar Creek Center Blvd
Ste 600
Sugar Land, TX 77478
Phone (281) 872-6455

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1548777915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD STE 600",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783688",
            "telephone_number": "832-474-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD STE 600",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783688",
            "telephone_number": "832-474-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNMONU",
        "first_name": "KUDIRAT",
        "middle_name": "FOLORUNSHO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "786687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.