Individual provider Active NPI

Yetunde Christiana Ogunjumelo, ARPN-CNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1891315479
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055946 Issued in TX
Practice address
1100 Wilcrest Dr Ste 121
Houston, TX 77042-1642
Phone
(346) 388-0388
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 936255 TX
Family Nurse Practitioner 363LF0000X 1055946 TX Primary

Addresses

Primary practice location

1100 Wilcrest Dr Ste 121
Houston, TX 77042-1642

Mailing address

1100 Wilcrest Dr Ste 121
Houston, TX 77042-1642
Phone (346) 388-0388

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
I20220615000560 TX Practitioner - Nurse Practitioner 4183003585 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

Practice addresses (Care Compare)

1100 Wilcrest Dr
Suite 121
Houston, TX 77042-1642
Phone (346) 388-0388

15160 Bellaire Blvd
Houston, TX 77083-3100
Phone (346) 388-0388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
936255TXMDRegistered Nurse
1055946TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practice House Calls LLC Family CurrentSince May 1, 2022 Accepting new patients
Tophealth Family Clinic LLC Family CurrentSince Feb 1, 2023 Accepting new patients
Adey Healthcare LLC CurrentSince Dec 10, 2023 Accepting new patients
Advance Pharmacy LLC Past Accepting new patients

Locations

1100 Wilcrest Dr
Ste 121
Houston, TX 77042
Phone (346) 388-0388

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

1100 Wilcrest Dr
Houston, TX 77042

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1891315479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILCREST DR STE 121",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421642",
            "telephone_number": "346-388-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILCREST DR STE 121",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421642",
            "telephone_number": "346-388-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNJUMELO",
        "first_name": "YETUNDE",
        "middle_name": "CHRISTIANA",
        "credential": "ARPN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "936255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.