Omolola Ayeni, FNP

Individual provider Active NPI Family Nurse Practitioner · Rosenberg, TX

NPI 1992551766 · NPPES record last updated Apr 24, 2024

Key facts

NPI
1992551766
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1139713 (TX)
Practice address
24301 Brazos Town Xing # 500-1042
Rosenberg, TX 77471-6286
Phone
(409) 264-2100
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1139713TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kairos Health Integrative Primary Care Family Current Accepting new patients

Locations

77 Sugar Creek Center Blvd
Ste 600
Sugar Land, TX 77478
Phone (281) 872-6455

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1139713 TX Yes

Addresses

Primary practice location

24301 Brazos Town Xing # 500-1042
Rosenberg, TX 77471-6286

Mailing address

24301 Brazos Town Xing # 500-1042
Rosenberg, TX 77471-6286

Other providers in Rosenberg, TX

All providers in Rosenberg, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.