Organization Active NPI

Cadalawn LLC

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1770419269
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CADALAWN LLC
Practice address
12914 Malcomson Rd
Houston, TX 77070-1049
Phone
(713) 881-9173
Fax
(713) 881-9174
NPI assigned
Jun 22, 2026
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Caroline Omori
Title
Owner
Phone
(713) 881-9173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

12914 Malcomson Rd
Houston, TX 77070-1049

Mailing address

12914 Malcomson Rd
Houston, TX 77070-1049
Phone (713) 881-9173

National Provider Directory

National Provider Directory

Locations

12914 Malcomson Rd
Houston, TX 77070

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1770419269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12914 MALCOMSON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701049",
            "telephone_number": "713-881-9173",
            "fax_number": "713-881-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12914 MALCOMSON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701049",
            "telephone_number": "713-881-9173",
            "fax_number": "713-881-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADALAWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "OMORI",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-881-9173"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.