Individual provider Active NPI

Vivian Odoemenem, FNP

  • Family Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1972044824
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133142 Issued in TX
Practice address
7926 Shadow Dance LN
Richmond, TX 77407-6413
Phone
(346) 298-3923
NPI assigned
Mar 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 AP133142 TX Primary

Addresses

Primary practice location

7926 Shadow Dance LN
Richmond, TX 77407-6413

Mailing address

PO Box 3345
Houston, TX 77253-3345
Phone (713) 796-9955

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
I20190429000115 TX Practitioner - Nurse Practitioner 9335481175 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Geriatrics IncGroup PAC ID 5193827046, 45 clinicians

Practice addresses (Care Compare)

24285 Katy Fwy
Suite 300
Katy, TX 77494-1327
Phone (346) 387-7171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC Family CurrentSince Apr 1, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Jan 27, 2022 Accepting new patients
Collaborative Geriatrics Inc CurrentSince Jul 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Jan 27, 2022 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Jun 26, 2020 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Jun 26, 2020 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

7302 Oak Manor Dr
San Antonio, TX 78229
Phone (210) 334-8537

11106 Christus Hls
San Antonio, TX 78251
Phone (210) 240-8241

7603 Culebra Rd
San Antonio, TX 78251
Phone (210) 680-0299

1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068

Organizations & group practices 6

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": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1972044824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3345",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533345",
            "telephone_number": "713-796-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7926 SHADOW DANCE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076413",
            "telephone_number": "346-298-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOEMENEM",
        "first_name": "VIVIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-11",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.