Individual provider Active NPI

Nosimot Tutu Adepegba, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1992295935
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP138648 Issued in TX
Practice address
8067 W Virginia Dr
Dallas, TX 75237-3767
Phone
(972) 230-5601
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 AP138648 TX Primary
Family Nurse Practitioner 363LF0000X 694029 TX

Addresses

Primary practice location

8067 W Virginia Dr
Dallas, TX 75237-3767

Mailing address

1701 Wylie Creek Dr
Desoto, TX 75115-1716
Phone (972) 333-9798

Other identifiers 1

IdentifierTypeStateIssuer
363LF0000XOtherTXFNP

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
I20180912002280 TX Practitioner - Nurse Practitioner 9830134626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
694029TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jan 1, 2023 Accepting new patients
Avid Mind Psychiatry PLLC Psychiatric/Mental Health CurrentSince Dec 17, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 1, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Alive Home Health Care, Inc PastSince Sep 1, 2019 Accepting new patients
Trinity Home Visiting Doctors PLLC PastSince Jun 15, 2017 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1992295935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WYLIE CREEK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151716",
            "telephone_number": "972-333-9798",
            "fax_number": "469-297-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8067 W VIRGINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373767",
            "telephone_number": "972-230-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEPEGBA",
        "first_name": "NOSIMOT",
        "middle_name": "TUTU",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP138648",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "694029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "363LF0000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.