Olanike Agbale, NP
Individual provider Active NPI Family Nurse Practitioner · Katy, TX
NPI 1972924322 · NPPES record last updated Sep 22, 2022
Key facts
- NPI
- 1972924322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP128407 (TX)
- Practice address
- 7203 Fiesta Flower
Katy, TX 77494-0129 - Phone
- (302) 588-4635
- NPI assigned
- Jan 1, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, WA, IL, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151102000726 | TX | Practitioner - Nurse Practitioner | 2365762838 | Reassigns benefits to 2 organizations |
| I20221228003093 | WA | Practitioner - Nurse Practitioner | 2365762838 | Reassigns benefits to 1 organization |
| I20231227002298 | IL | Practitioner - Nurse Practitioner | 2365762838 | Reassigns benefits to 1 organization |
| I20240126001000 | NV | Practitioner - Nurse Practitioner | 2365762838 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP128407 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients |
Locations
701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303
Interoperability endpoints
- olanike.agbale@hca9.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP128407 | TX | Yes |
Addresses
Primary practice location
7203 Fiesta Flower
Katy, TX 77494-0129
Mailing address
7203 Fiesta Flower
Katy, TX 77494-0129
Phone (302) 588-4635
Other providers in Katy, TX
- Ag Radiology Imaging Center, LLC
- Ag Radiology PLLC
- Christelle Neyanor Agah
- Ellyn Ashley Agana
- Agape Individuality Services LLC
- Anyandindu Agbara
- Blessings Agbonyeme
- Faith Nekpen Agho
- Agilias USA, Inc
- Agilitas USA, Inc
All providers in Katy, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.