Adesola Omowanile

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1154274 Issued in TX

Practice address

10223 Broadway St
Pearland, TX 77584-7880

Phone

(646) 541-1016

NPI assigned

Apr 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bee Focus Iop, LLC

  • Adult Mental Health Clinic/Center
  • Houston, TX
  • NPI 1699239483
  Medicare reassignment NPD
• NP Care Services Group, P.C

  • Nurse Practitioner
  • Houston, TX
  • NPI 1194983452

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Bee Focus Transportation LLC

  • Secured Medical Transport (VAN)
  • Houston, TX
  • NPI 1497443428
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1932951522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29030 DUNBROOK MEADOWS LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943820",
            "telephone_number": "646-541-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "646-541-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOWANILE",
        "first_name": "ADESOLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "224137",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1154274",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "948801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damary Olguin
• Vivian Olisa-Alexander, LPC
• Cleona Oliver
• Ludivina Saldivar Olivo, CSFA
• Omitogun and Associates PLLC
• Priscilia Onabhakere, PHARM.D
• Oncology Consultants, P. a.
• One Step Diagnostic VI, L.P.
• Oneal and Associates LLC (Myocore)
• Oneil Investrments (Bencare)

• Psychiatric/Mental Health Nurse Practitioner in Pearland, TX
• Providers in Pearland, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.