Omobola Abosede Petinrin, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP134723 Issued in TX

Practice address

1225 Farr St
Waller, TX 77484-8486

Phone

(936) 372-3003

Fax

(936) 372-8070

NPI assigned

Nov 20, 2017

Last updated

Jan 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Freedomchoice Family Clinic

  • Family Medicine Physician
  • Waller, TX
  • NPI 1528925732
  NPD Authorized official
• Freedomchoice Health

  • Nurse Practitioner
  • Pearland, TX
  • NPI 1578293163
  NPD (past)

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1669986196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12822 SHADOW CANYON LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843640",
            "telephone_number": "646-441-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FARR ST",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774848486",
            "telephone_number": "936-372-3003",
            "fax_number": "936-372-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETINRIN",
        "first_name": "OMOBOLA",
        "middle_name": "ABOSEDE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP134723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Oslund-Goldberg, EPT
• Lindsay Shay Owen, OD
• Lorena Penaloza, M.S., CCC-SLP
• Jessenia N Perea, M.S. CCC-SLP
• Victor Alexander Perea, BS
• Anthony Tam Pham, D.O.
• Anthony Guy Pizzino, CNIM
• Kristina Port, CNIM
• Junious Keith Powell, PHARMD.
• Crystal Prince, CLD

• Family Medicine Physician in Waller, TX
• Providers in Waller, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.