Individual provider Active NPI

Adenike Westcott Omwirhiren

  • Licensed Practical Nurse
  • Missouri City, TX
National Provider Identifier
1831670058
Registry record updated Aug 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
212781 Issued in TX
Practice address
4502 Riverstone Blvd Ste 905
Missouri City, TX 77459-5206
Phone
(281) 903-7613
Fax
(832) 532-7504
NPI assigned
Aug 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 212781 TX Primary

Addresses

Primary practice location

4502 Riverstone Blvd Ste 905
Missouri City, TX 77459-5206

Mailing address

8931 Deer Meadow Dr
Houston, TX 77071-2458
Phone (832) 830-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
212781TXMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nestar Med Care LLC Past Accepting new patients

Organizations & group practices 1

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": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1831670058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 DEER MEADOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712458",
            "telephone_number": "832-830-4142",
            "fax_number": "832-547-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 905",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595206",
            "telephone_number": "281-903-7613",
            "fax_number": "832-532-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMWIRHIREN",
        "first_name": "ADENIKE",
        "middle_name": "WESTCOTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "212781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; 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.