Individual provider Active NPI

Kasuma Awolola, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1730351628
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1051010 Issued in TX
Practice address
4807 Gingham Check CT
Katy, TX 77449-5379
Phone
(203) 596-8970
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1051010 TX Primary

Addresses

Primary practice location

4807 Gingham Check CT
Katy, TX 77449-5379

Mailing address

4807 Gingham Check CT
Katy, TX 77449-5379
Phone (203) 596-8970

Other names 1

  • Kasuma Musa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20211119000790 TX Practitioner - Nurse Practitioner 9931598562 Reassigns benefits to 1 organization
I20230601002513 NM Practitioner - Nurse Practitioner 9931598562 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1051010TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hidalgo Medical Services CurrentSince May 31, 2023 Accepting new patients
Border Region MH Mr Community Center CurrentSince Aug 24, 2021 Accepting new patients
Hidalgo Medical Services CurrentSince May 31, 2023 Accepting new patients
Dakas Healthcare Providers Past Accepting new patients

Locations

1107 Tom Foy Blvd
HMS Cobre Health Clinic
Bayard, NM 88023
Phone (575) 437-5069

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

3200 N Silver St
Silver City, NM 88061
Phone (505) 534-1015

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

Organizations & group practices 4

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1730351628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 GINGHAM CHECK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495379",
            "telephone_number": "203-596-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 GINGHAM CHECK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495379",
            "telephone_number": "203-596-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOLOLA",
        "first_name": "KASUMA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1051010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASUMA",
            "last_name": "MUSA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.