Individual provider Active NPI

Ngozi Omowaiye, APRN - AGNP

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1952883696
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP138621 Issued in TX
Practice address
1102 Pinemont Dr
Houston, TX 77018-1300
Phone
(713) 734-0199
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP138621 TX Primary

Addresses

Primary practice location

1102 Pinemont Dr
Houston, TX 77018-1300

Mailing address

8610 Martin Luther King Blvd
Houston, TX 77033-2308

Other practice location 1

8610 Martin Luther King Blvd
Houston, TX 77033-2308
Phone (713) 734-0199

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190128002209 TX Practitioner - Nurse Practitioner 7416200449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4411 Starling Haven LN
Fulshear, TX 77441-3300
Phone (908) 812-4119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novagrace Health and Wellness LLC Adult Health CurrentSince Aug 27, 2025 Accepting new patients
South Central Houston Action Council, Inc. Past Accepting new patients
South Central Houston Action Council Inc Past Accepting new patients

Organizations & group practices 3

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1952883696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MARTIN LUTHER KING BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770332308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 PINEMONT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770181300",
            "telephone_number": "713-734-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8610 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770332308",
            "country_code": "US",
            "telephone_number": "713-734-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMOWAIYE",
        "first_name": "NGOZI",
        "credential": "APRN - AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP138621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.