Individual provider Active NPI

Damilola Seriki, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1568006237
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1014427 Issued in TX
Practice address
1807 Glen Oak CT
Sugar Land, TX 77479-6345
Phone
(917) 684-1339
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 780978 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1014427 TX Primary

Addresses

Primary practice location

1807 Glen Oak CT
Sugar Land, TX 77479-6345

Mailing address

1807 Glen Oak CT
Sugar Land, TX 77479-6345
Phone (917) 684-1339

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
I20251216002237 TX Practitioner - Nurse Practitioner 2365936432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway Psych Care PLLCGroup PAC ID 8325480494, 10 clinicians

Practice addresses (Care Compare)

455 Park Grove Dr
Katy, TX 77450-1572
Phone (281) 492-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
780978NYMDRegistered Nurse
1014427TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Psych Care PLLC CurrentSince Nov 1, 2025 Accepting new patients
Neurostry Behavioral Health Current Accepting new patients

Locations

455 Park Grove Dr
Katy, TX 77450
Phone (281) 482-5551

2700 Cullen Blvd
Unit 84407
Pearland, TX 77584

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1568006237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 GLEN OAK CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796345",
            "telephone_number": "917-684-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 GLEN OAK CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796345",
            "telephone_number": "917-684-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIKI",
        "first_name": "DAMILOLA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "780978",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1014427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.