Individual provider Active NPI

Abiose Omolola Adeboye

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1699251876
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1100493 Issued in TX
Practice address
21362 Bandera Ranch LN
Katy, TX 77449-5353
Phone
(832) 275-0297
NPI assigned
Jul 11, 2018
Last updated
Jul 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1100493 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 337827 AZ

Addresses

Primary practice location

21362 Bandera Ranch LN
Katy, TX 77449-5353

Mailing address

21362 Bandera Ranch LN
Katy, TX 77449-5353
Phone (346) 652-6822

Other practice location 1

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone (346) 665-6822

Other practice location 2

2006 Thompson Rd Ste 204
Richmond, TX 77469-4947
Phone (346) 652-6822

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
I20250109002189 TX Practitioner - Nurse Practitioner 9436687084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Sleep and Narcolepsy PLLCGroup PAC ID 2163846239, 4 clinicians

Practice addresses (Care Compare)

20333 State Hwy 249
Suite 200
Houston, TX 77070-2613
Phone (713) 465-9282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337827AZMDPsychiatric/Mental Health Nurse Practitioner
1100493TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peculiar Touch Mental Healthcare Services PLLC CurrentSince Nov 12, 2024 Accepting new patients
Houston Sleep and Narcolepsy PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

20333 State Highway 249
Ste 200
Houston, TX 77070
Phone (281) 748-9088

2006 Thompson Rd
Ste 204
Richmond, TX 77469
Phone (281) 536-3843

Interoperability endpoints

  • Direct secure messaging: abiose.omolola.adeboye.1@2717.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2717/brand/21/csg/1/fhir/r4

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, 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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1699251876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21362 BANDERA RANCH LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495353",
            "telephone_number": "346-652-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21362 BANDERA RANCH LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495353",
            "telephone_number": "832-275-0297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 S Stapley Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046676",
            "country_code": "US",
            "telephone_number": "346-665-6822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Thompson Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774694947",
            "country_code": "US",
            "telephone_number": "346-652-6822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEBOYE",
        "first_name": "ABIOSE",
        "middle_name": "OMOLOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1100493",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "337827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.