Iyabo Mercy Omidiwura, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1100163 Issued in TX

Practice address

4800 Sugar Grove Blvd Ste 250
Stafford, TX 77477-2639

Phone

(832) 554-6773

NPI assigned

Sep 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

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 and National Provider Directory roles.

• Prima Medical Group PLLC

  • General Practice Physician
  • Stafford, TX
  • NPI 1801787817

  Nurse Practitioner

  Medicare reassignment NPD Authorized official
• Meriwood Limited Liability Company

  • Home Health Agency
  • Stafford, TX
  • NPI 1770315749
  NPD Authorized official
• River Oaks Hospice

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1851933378
  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1750864799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SUGAR GROVE BLVD STE 250",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772639",
            "telephone_number": "832-554-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SUGAR GROVE BLVD STE 250",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772639",
            "telephone_number": "832-554-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 18th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022449",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 N Saint Paul St Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752013923",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10440 Little Patuxent Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443648",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMIDIWURA",
        "first_name": "IYABO",
        "middle_name": "MERCY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1100163",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC008119",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "952285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Shari Oliver
• Lillie Olivier
• Phylicia Olukoju
• Joy F Olurebi, RN
• Enajite Yvonne Omezi
• Omnicare Pharmacy of Texas No 1, LP
• One New Era Investments LLC
• Onesouthernmedicalsupply
• Onpoint Lab, LLC
• Jerry Onwugamba

• Nurse Practitioner in Stafford, TX
• Providers in Stafford, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.