Individual provider Active NPI

Simbiat Olayinka Adekanmbi, FNP

  • Family Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1952765893
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129104 Issued in TX
Practice address
11900 Shadow Creek Pkwy
#827
Pearland, TX 77584-4821
Phone
(267) 255-2648
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129104 TX Primary

Addresses

Primary practice location

11900 Shadow Creek Pkwy
#827
Pearland, TX 77584-4821

Mailing address

11900 Shadow Creek Pkwy
#827
Pearland, TX 77584-4821
Phone (267) 255-2648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240213003697 AZ Practitioner - Nurse Practitioner 2860740347 Practice locations: San Antonio, TX
I20240319000790 TX Practitioner - Nurse Practitioner 2860740347 Reassigns benefits to 1 organization

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)

401 E Sonterra Blvd
Suite 375
San Antonio, TX 78258-4321

602 Virginia St E
Suite 100
Charleston, WV 25301-2154

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Py Healthcare LLC Family CurrentSince Feb 12, 2024 Accepting new patients

Locations

401 E Sonterra Blvd
Ste 375
San Antonio, TX 78258
Phone (210) 325-6874

Interoperability endpoints

  • Direct secure messaging: pyhealthcare.simbiatadekanmbi@157835.advancedmd-direct.com

Organizations & group practices 1

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1952765893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 SHADOW CREEK PKWY",
            "address_2": "#827",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844821",
            "telephone_number": "267-255-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SHADOW CREEK PKWY",
            "address_2": "#827",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844821",
            "telephone_number": "267-255-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKANMBI",
        "first_name": "SIMBIAT",
        "middle_name": "OLAYINKA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.