Individual provider Active NPI

Uloma Udeze Okundaye, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosenberg, TX
National Provider Identifier
1871115261
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP145973 Issued in TX
Practice address
4114 Avenue H
Rosenberg, TX 77471-2833
Phone
(281) 725-6182
NPI assigned
May 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 891744 TX
Family Nurse Practitioner 363LF0000X AP145527 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP145973 TX Primary

Addresses

Primary practice location

4114 Avenue H
Rosenberg, TX 77471-2833

Mailing address

9722 Gaston Rd Ste 150-102
Katy, TX 77494-7941
Phone (818) 571-8676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601000364 TX Practitioner - Nurse Practitioner 6103247143 Reassigns benefits to 4 organizations
I20251104003740 AZ Practitioner - Nurse Practitioner 6103247143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13625 Beechnut St
Suite C
Houston, TX 77083-6841
Phone (832) 802-0033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
891744TXMDRegistered Nurse
AP145527TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velox Psychiatric Management Psychiatric/Mental Health CurrentSince Jul 8, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 17, 2024 Accepting new patients
Border Region MH Mr Community Center CurrentSince Aug 1, 2022 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

13625 Beechnut St
Ste C
Houston, TX 77083
Phone (346) 631-2266

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

9722 Gaston Rd
Ste 150103
Katy, TX 77494

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Velox Hospice Care, LLCHouston, TX, CCN E21514 Hospice 5% Or Greater Direct Ownership Interest (50%)
W-2 Managing Employee (40%)
Dec 1, 2024
Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1871115261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GASTON RD STE 150-102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947941",
            "telephone_number": "818-571-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 AVENUE H",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712833",
            "telephone_number": "281-725-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNDAYE",
        "first_name": "ULOMA",
        "middle_name": "UDEZE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "891744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "AP145527",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP145973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.