Active NPI
Funmilayo A Joseph
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1047339
- Practice address
- 7700 Willow Chase Blvd Apt 527
Houston, TX 77070-5896 - Phone
- (312) 885-0996
- NPI assigned
- Oct 14, 2021
- Last updated
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2021032358 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1047339 | TX | Primary |
Addresses
Primary practice location
7700 Willow Chase Blvd Apt 527
Houston, TX 77070-5896
Mailing address
7700 Willow Chase Blvd Apt 527
Houston, TX 77070-5896
Phone (312) 885-0996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1455 NW Leary Way
Suite 400
Seattle, WA 98107-5138
Phone (646) 450-7748
4600 E Washington St
Suite 300
Phoenix, AZ 85034-1908
Phone (646) 450-7748
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021032358 | TX | MD | Psychiatry Physician |
| 1047339 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Single Specialty | Current | Accepting new patients |
| Multicare Health System | Nurse Practitioner | Current | Accepting new patients |
| Valera Medical, P.C. | Single Specialty | Current | Accepting new patients |
| Valera Medical, P.a. | Single Specialty | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
134 N 4th St
Brooklyn, NY 11249
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 6
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
Single Specialty
-
- Psychiatry Physician
- Spring, TX
- NPI 1760858997
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Kent MultiCare Clinic
- Family Medicine Physician
- Kent, WA
- NPI 1811949928
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1689337842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 WILLOW CHASE BLVD APT 527",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770705896",
"telephone_number": "312-885-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 WILLOW CHASE BLVD APT 527",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770705896",
"telephone_number": "312-885-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "FUNMILAYO",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "2021032358",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1047339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.