Sakirudeen Adegboyega Olusesi, FAMILY NURSE PRACTIT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP146063 Issued in TX

Practice address

310 Morningside Dr Unit 192
Friendswood, TX 77549-0867

Phone

(346) 385-3500

Fax

(949) 404-6118

NPI assigned

Jun 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sakirudeen.olusesi.1@32021.direct.athenahealth.com

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.

• Scarborough Medical Services PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1215792213
  Medicare reassignment NPD
• Team Care Medical PLLC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1093531691
  Medicare reassignment NPD
• Belle Sante Family Practice, PLLC

  • Family Nurse Practitioner
  • Friendswood, TX
  • NPI 1679191282
  NPD

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760006522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14402 CYPRESS MEADOWS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770474641",
            "telephone_number": "832-631-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MORNINGSIDE DR UNIT 192",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775490867",
            "telephone_number": "346-385-3500",
            "fax_number": "949-404-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14402 Cypress Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770474641",
            "country_code": "US",
            "telephone_number": "832-631-0975 x4641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUSESI",
        "first_name": "SAKIRUDEEN",
        "middle_name": "ADEGBOYEGA",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP146063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "Y",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 Morningside Drive Suit # 192",
            "city": "Friendswood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Business",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "address_1": "310 Morningside Dr Unit 192",
            "city": "Friendswood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775490867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Uchenna Fortune Okonkwo
• Felicitas Chioma Okwara, PMHNP -BC
• Carolina Olivares
• Olive and Ash Counseling, PLLC
• Bernadette Olivier, MSN, APRN, CNM FNP-C
• Omkm
• One Source Rehabilitation, Inc.
• Only Smiles Family Dental PLLC
• Orgone Healthcare LLC
• Orsak Medical Association

• Family Nurse Practitioner in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.