Active NPI
Okwuchi Vivian Adodo, FNP
- Family Nurse Practitioner
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP133355
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4102352 | Medicaid | TX |
Other names 1
- Okwuchi Vivian Adodo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Laptop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA, NJ, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP133355 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore First Health NJ LLC | Current | Accepting new patients | |
| Refuah Healthcare Texas Inc | Current | Accepting new patients | |
| Ivy Cares Home Health | Current | Accepting new patients | |
| Pecan Health PLLC | Family | Current | Accepting new patients |
| Restore First Health Penn | Current | Accepting new patients | |
| Mobile Wound Healing LLC | Current | Accepting new patients | |
| Woodlands Pain Consultants,PA | Current | Accepting new patients | |
| Imd Healthcare and Imaging | Current | Accepting new patients | |
| Your Health Pharmacy | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Touching Hearts Hospice LLC | 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.
-
- Community Based Hospice Care Agency
- Sugar Land, TX
- NPI 1952935462
Corporate Officer, Operational/Managerial Control
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.
-
dba Spruce Health Group Texas
- General Practice Physician
- Jersey Village, TX
- NPI 1265210751
Family
-
- General Practice Physician
- East Windsor, NJ
- NPI 1083327290
-
- Adult Health Nurse Practitioner
- Brookshire, TX
- NPI 1609507110
-
- Health Service Clinic/Center
- Houston, TX
- NPI 1992074710
-
- General Practice Physician
- Houston, TX
- NPI 1174372569
-
- Specialist
- Spring, TX
- NPI 1811090376
-
- Family Medicine Physician
- Dublin, OH
- NPI 1447013511
-
- General Practice Physician
- Plymouth Meeting, PA
- NPI 1437929304
-
- Home Health Agency
- Houston, TX
- NPI 1194522680
-
- General Practice Physician
- Northfield, NJ
- NPI 1447717962
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.