Individual provider Active NPI

Okwuchi Vivian Adodo, FNP

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1922547090
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133355 Issued in TX
Practice address
26502 Crimson Bluff LN
Katy, TX 77494-7655
Phone
(718) 844-3203
Fax
(281) 667-4880
NPI assigned
Feb 21, 2017
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Nurse Practitioner 363LF0000X AP133355 TX Primary

Addresses

Primary practice location

26502 Crimson Bluff LN
Katy, TX 77494-7655

Mailing address

26502 Crimson Bluff LN
Katy, TX 77494-7655
Phone (718) 844-3203

Other practice location 1

4506 Ferndale Meadows Dr
Katy, TX 77494-5334
Phone (718) 844-3203

Other identifiers 1

IdentifierTypeStateIssuer
4102352MedicaidTX

Other names 1

  • Okwuchi Vivian Adodo Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, NJ, OH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180223000948 TX Practitioner - Nurse Practitioner 0840551404 Reassigns benefits to 5 organizations
I20260127000354 PA Practitioner - Nurse Practitioner 0840551404 Reassigns benefits to 1 organization
I20260128001072 NJ Practitioner - Nurse Practitioner 0840551404 Reassigns benefits to 2 organizations
I20260202001243 OH Practitioner - Nurse Practitioner 0840551404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pecan Health PLLCGroup PAC ID 5193170363, 14 clinicians
Restore First Health NJ LLCGroup PAC ID 7012381106, 5 clinicians
Dynamic HousecallsGroup PAC ID 3577945591, 2 clinicians

Practice addresses (Care Compare)

20320 Northwest Fwy
Suite 400a
Jersey Village, TX 77065-5620
Phone (346) 345-2092

300 B Princeton Hightstown Rd
Suite 202
East Windsor, NJ 08520-1400
Phone (856) 906-9375

30218 Cascading Brook Way
Brookshire, TX 77423-2786
Phone (347) 316-7396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133355TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore First Health NJ LLC CurrentSince Dec 23, 2025 Accepting new patients
Refuah Healthcare Texas Inc CurrentSince Jan 1, 2025 Accepting new patients
Ivy Cares Home Health Current Accepting new patients
Pecan Health PLLC Family CurrentSince Nov 24, 2025 Accepting new patients
Restore First Health Penn CurrentSince Dec 15, 2025 Accepting new patients
Mobile Wound Healing LLC CurrentSince Jan 22, 2026 Accepting new patients
Woodlands Pain Consultants,PA CurrentSince Nov 1, 2024 Accepting new patients
Imd Healthcare and Imaging CurrentSince Aug 2, 2018 Accepting new patients
Your Health Pharmacy PastSince Jun 1, 2020 Accepting new patients

Locations

300B Princeton Hightstown Rd
Ste 202
East Windsor, NJ 08520
Phone (702) 303-4220

6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980

2250 Hickory Rd
Ste 140
Plymouth Mtng, PA 19462
Phone (610) 379-2904

5850 San Felipe St
Ste 500
Houston, TX 77057
Phone (281) 823-7108

19424 McKay Dr
Humble, TX 77338
Phone (281) 319-4060

20320 Northwest Fwy
Ste 400A
Jersey Village, TX 77065
Phone (281) 397-0777

1441 Woodstead Ct
Ste 260
The Woodlands, TX 77380
Phone (218) 319-4910

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
Touching Hearts Hospice LLCSugar Land, TX, CCN A91722 Hospice Corporate Officer (100%)
Operational/Managerial Control (50%)
Apr 17, 2020
Apr 17, 2020

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 12

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1922547090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26502 CRIMSON BLUFF LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947655",
            "telephone_number": "718-844-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26502 CRIMSON BLUFF LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947655",
            "telephone_number": "718-844-3203",
            "fax_number": "281-667-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4506 Ferndale Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774945334",
            "country_code": "US",
            "telephone_number": "718-844-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADODO",
        "first_name": "OKWUCHI",
        "middle_name": "VIVIAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4102352",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "26502 Crimson Bluff Ln",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774947655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OKWUCHI",
            "last_name": "ADODO",
            "middle_name": "VIVIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.