Individual provider Active NPI

Olanike Agbale, NP

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1972924322
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128407 Issued in TX
Practice address
7203 Fiesta Flower
Katy, TX 77494-0129
Phone
(302) 588-4635
NPI assigned
Jan 1, 2014
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 AP128407 TX Primary

Addresses

Primary practice location

7203 Fiesta Flower
Katy, TX 77494-0129

Mailing address

7203 Fiesta Flower
Katy, TX 77494-0129
Phone (302) 588-4635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, IL, NV4 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 4

Enrollment IDStateProvider typePAC IDDetails
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

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

State licenses

LicenseStateTypeSpecialty
AP128407TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Mar 13, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 16, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 13, 2024 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
Farmers Branch, TX 75244
Phone (469) 466-7007

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

  • Direct secure messaging: olanike.agbale@hca9.eclinicaldirectplus.com

Organizations & group practices 4

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": "1388534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1972924322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 FIESTA FLOWER",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940129",
            "telephone_number": "302-588-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 FIESTA FLOWER",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940129",
            "telephone_number": "302-588-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBALE",
        "first_name": "OLANIKE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-01",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.