Individual provider Active NPI

Adedayo Saanumi, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1841659810
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130183 Issued in TX
Practice address
19770 Kingsland Blvd
Suite 305
Houston, TX 77094-1031
Phone
(281) 578-7438
Fax
(281) 578-7450
NPI assigned
Feb 18, 2016
Last updated
Feb 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130183 TX Primary

Addresses

Primary practice location

19770 Kingsland Blvd
Suite 305
Houston, TX 77094-1031

Mailing address

19770 Kingsland Blvd
Suite 305
Houston, TX 77094-1031
Phone (281) 578-7438

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170525000272 TX Practitioner - Nurse Practitioner 3173890084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Medical PLLCGroup PAC ID 1850639709, 6 clinicians

Practice addresses (Care Compare)

1412 S Front St
Bellville, TX 77418-3307
Phone (979) 227-4151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP130183TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rosehill Urgent Care LLC Family Current Accepting new patients
Rosehill Urgent Care LLC Current Accepting new patients
Fastclinics LLC Current Accepting new patients
Medspring of Texas, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adedayo.saanumi.1@30520.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1841659810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19770 KINGSLAND BLVD",
            "address_2": "SUITE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941031",
            "telephone_number": "281-578-7438",
            "fax_number": "281-578-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19770 KINGSLAND BLVD",
            "address_2": "SUITE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941031",
            "telephone_number": "281-578-7438",
            "fax_number": "281-578-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAANUMI",
        "first_name": "ADEDAYO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.