Individual provider Active NPI

John Osamuyimen Odiase, RN

  • Psychiatric/Mental Health Registered Nurse
  • Tomball, TX
National Provider Identifier
1902684061
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
1039109 Issued in TX
Practice address
8919 Square View LN
Tomball, TX 77375-1679
Phone
(909) 667-6885
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1039109 TX Primary

Addresses

Primary practice location

8919 Square View LN
Tomball, TX 77375-1679

Mailing address

8919 Square View LN
Tomball, TX 77375-1679
Phone (909) 667-6885

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1039109TXMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TRM Hospice Care Inc CurrentSince Sep 24, 2023 Accepting new patients
Silver-Spring Home Healthcare Services Inc CurrentSince Sep 24, 2023 Accepting new patients

Locations

25700 Interstate 45 N
Ste 440
Spring, TX 77386
Phone (281) 651-2268

Organizations & group practices 2

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1902684061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 SQUARE VIEW LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751679",
            "telephone_number": "909-667-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 SQUARE VIEW LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751679",
            "telephone_number": "909-667-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIASE",
        "first_name": "JOHN",
        "middle_name": "OSAMUYIMEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1039109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.