Individual provider Active NPI

Ola M Adesanya, DNP FNP-C

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1700378353
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP137825 Issued in TX
Practice address
8727 W Rayford Dr
160
Spring, TX 77389
Phone
(281) 547-8880
NPI assigned
May 30, 2018
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TX
Family Nurse Practitioner 363LF0000X AP137825 TX
Family Medicine Physician 207Q00000X AP137825 TX Primary

Addresses

Primary practice location

8727 W Rayford Dr
160
Spring, TX 77389

Mailing address

8727 W Rayford Dr
160
Spring, TX 77389
Phone (281) 547-8880

Other names 1

  • Ola Misturat Adesanya Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180830001856 TX Practitioner - Nurse Practitioner 2466702113 Reassigns benefits to 2 organizations
I20220825001669 MI Practitioner - Nurse Practitioner 2466702113 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137825TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Devotion Palliative Care, LLC Multi-Specialty CurrentSince Dec 20, 2024 Accepting new patients
Pallicare, Inc Multi-Specialty CurrentSince Feb 13, 2025 Accepting new patients

Locations

610 N Loop 336 E
Fl 2
Conroe, TX 77301
Phone (281) 742-1142

6760 Old Jacksonville Hwy
Ste 101
Tyler, TX 75703
Phone (855) 485-8273

Interoperability endpoints

  • Direct secure messaging: ola.adesanya.1@26850.direct.athenahealth.com

Organizations & group practices 3

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1700378353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 W RAYFORD DR",
            "address_2": "160",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77389",
            "telephone_number": "281-547-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 W RAYFORD DR",
            "address_2": "160",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77389",
            "telephone_number": "281-547-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESANYA",
        "first_name": "OLA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "DNP FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP137825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLA",
            "last_name": "ADESANYA",
            "middle_name": "MISTURAT",
            "credential": "DNP FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.