Individual provider Active NPI

Olujimmy O Afolabi, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Humble, TX
National Provider Identifier
1962761478
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1052216 Issued in TX
Practice address
9387 FM 1960 Bypass Rd W Apt 3201
Humble, TX 77338-4480
Phone
(732) 900-7218
NPI assigned
May 4, 2012
Last updated
Oct 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1052216 TX Primary
Registered Nurse 163W00000X 650922 NY

Addresses

Primary practice location

9387 FM 1960 Bypass Rd W Apt 3201
Humble, TX 77338-4480

Mailing address

9387 FM 1960 Bypass Rd W Apt 3201
Humble, TX 77338-4480
Phone (732) 900-7218

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
I20221017001884 TX Practitioner - Nurse Practitioner 4082080007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Michael Lesem MD PAGroup PAC ID 5496809329, 2 clinicians

Practice addresses (Care Compare)

4306 Yoakum Blvd
Suite 330
Houston, TX 77006-5873
Phone 83253814790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
650922NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Lesem, MD, PA CurrentSince Aug 18, 2025 Accepting new patients

Locations

4306 Yoakum Blvd
Ste 230
Houston, TX 77006
Phone (832) 538-1479

4306 Yoakum Blvd
Ste 330
Houston, TX 77006
Phone (832) 538-1479

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, 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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1962761478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9387 FM 1960 BYPASS RD W APT 3201",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384480",
            "telephone_number": "732-900-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9387 FM 1960 BYPASS RD W APT 3201",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384480",
            "telephone_number": "732-900-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFOLABI",
        "first_name": "OLUJIMMY",
        "middle_name": "O",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1052216",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "650922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.