Individual provider Active NPI

Queen Idowu, PMHNP

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1780946608
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP121706 Issued in TX
Practice address
8215 Hawthorn Valley LN
Houston, TX 77095-1469
Phone
(281) 829-8314
Fax
(210) 446-5084
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP95016904 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2362005 MA
Adult Health Nurse Practitioner 363LA2200X AP121706 TX Primary
Adult Health Nurse Practitioner 363LA2200X 202201930NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95016904 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015344 FL
Adult Health Nurse Practitioner 363LA2200X 11015344 FL
Adult Health Nurse Practitioner 363LA2200X CNP03043 NM
Adult Health Nurse Practitioner 363LA2200X AP61235096 WA
Gerontology Nurse Practitioner 363LG0600X AP121706 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202201930-NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202201930NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP121706 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP03043 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61235096 WA

Addresses

Primary practice location

8215 Hawthorn Valley LN
Houston, TX 77095-1469

Mailing address

8215 Hawthorn Valley LN
Houston, TX 77095-1469
Phone (281) 829-8314

Other practice location 1

200 May St
Attleboro, MA 02703-5520
Phone (508) 761-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140507001152 TX Practitioner - Nurse Practitioner 6800043084 Reassigns benefits to 7 organizations
I20230105001098 OR Practitioner - Nurse Practitioner 6800043084 Reassigns benefits to 1 organization
I20240315000856 MA Practitioner - Nurse Practitioner 6800043084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians
Uhs of Fuller IncGroup PAC ID 3274510003, 23 clinicians
Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

1401 St Joseph Pkwy
Houston, TX 77002-8301
Phone (609) 585-1122

200 May St
South Attleboro, MA 02703-5520
Phone 50876185002263

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 790-3311

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95016904CAMDAdult Health Nurse Practitioner
11015344FLMDAdult Health Nurse Practitioner
202201930NPORMDAdult Health Nurse Practitioner
CNP03043NMMDPsychiatric/Mental Health Nurse Practitioner
202201930-NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
AP61235096WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA CurrentSince Nov 30, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Sep 16, 2024 Accepting new patients
Jefferson Physician Services, PLLC CurrentSince Oct 15, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 4, 2025 Accepting new patients
Ballem Harmony LLC Psychiatric/Mental Health CurrentSince Dec 10, 2024 Accepting new patients
Lufkin Physician Services PA CurrentSince Aug 5, 2018 Accepting new patients
First Docs PC CurrentSince Jul 1, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 16, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 16, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 4, 2025 Accepting new patients
Good Minds, LLC PastSince Mar 13, 2022 Accepting new patients

Locations

830 County Rd
Pocasset, MA 02559
Phone (508) 564-9600

60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1225 NE 2nd Ave
Ste E145
Portland, OR 97232
Phone (503) 944-7199

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

4500 Carter Creek Pkwy
Ste 101
Bryan, TX 77802
Phone (210) 367-1530

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: qidowu245655@christushealth.direct-ci.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1780946608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 HAWTHORN VALLEY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951469",
            "telephone_number": "281-829-8314",
            "fax_number": "210-446-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "HOUSTON",
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            "postal_code": "770951469",
            "telephone_number": "281-829-8314",
            "fax_number": "210-446-5084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 May St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027035520",
            "country_code": "US",
            "telephone_number": "508-761-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "QUEEN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
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            "taxonomy_group": "",
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            "primary": false
        },
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            "taxonomy_group": "",
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            "primary": false
        },
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            "license": "AP121706",
            "primary": true
        },
        {
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            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "202201930NP",
            "primary": false
        },
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            "taxonomy_group": "",
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            "state": "CA",
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            "primary": false
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        {
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            "taxonomy_group": "",
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            "state": "FL",
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            "primary": false
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        {
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        {
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            "state": "NM",
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        {
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        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP121706",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202201930-NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202201930NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
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            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
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            "state": "NM",
            "license": "CNP03043",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61235096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.