MRS. ABISOYE IFASEYI ODUTAYO (NPI# 1679911747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679911747 |
| Entity Type | Individual |
| Full Name | MRS. ABISOYE IFASEYI ODUTAYO |
| Other Name | ABISOYE ODUTAYO |
| Credential | FNP-BC |
| Practice Address |
1201 S. Alen Genoa Rd South Houston TX 77587 |
| Practice Telephone | 7139100000 |
| Practice Fax Number | 7139100004 |
| Mailing Telephone | 7139100000 |
| Mailing Fax Number | 7139100004 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP121759 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP121759 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 S. ALEN GENOA RD |
| City | SOUTH HOUSTON |
| State | TX |
| Zip Code | 77587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902918121 | Gail Anne Overland | Counselor | 3926 Bahler Rd, Manvel, TX 77587 | 2006-09-01 |
| 1932484540 | Turning Points | Community/Behavioral Health | 1309 Ave J, South Houston, TX 77587 | 2011-10-14 |
| 1881900488 | Ramneek Rai | Dentist | 701 College Ave, South Houston, TX 77587 | 2010-08-20 |
| 1902233257 | Nikorxpharmacy | Pharmacy | 207 Winton St, South Houston, TX 77587-3433 | 2013-10-02 |
| 1922019413 | Genesis Pharmacy Inc | Pharmacy | 1611 Spencer Hwy Ste F, South Houston, TX 77587-3714 | 2006-08-10 |
| 1780231308 | Rx Healer Inc | Pharmacy | 1611 Spencer Hwy Ste F, South Houston, TX 77587-3714 | 2019-08-19 |
| 1871826271 | Houston Dds, PC | Dentist | 1632 Spencer Hwy, South Houston, TX 77587-3752 | 2009-09-16 |
| 1407464266 | Uyen Hoang | Dentist | 1632 Spencer Hwy, South Houston, TX 77587-3752 | 2020-07-17 |
| 1407333404 | Jaeyoon Jeong | Dentist | 1632 Spencer Hwy, South Houston, TX 77587-3752 | 2018-07-23 |
| 1750835526 | Mary Fathy Fawzy Morcos | Dentist | 1632 Spencer Hwy, South Houston, TX 77587-3752 | 2016-08-10 |
| Find all providers in zip 77587 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740515 | Valerie Claudia Siaha | Nurse Practitioner | 1201 S Allen Genoa Rd, South Houston, TX 77587-4464 | 2020-08-11 |
| 1164915757 | Olatokunbo Kappo | Nurse Practitioner | 1201 S Allen Genoa Rd, South Houston, TX 77587-4464 | 2018-06-08 |
| 1699135418 | Radcliffe Myers | Nurse Practitioner | 1201 S Allen Genoa Rd, South Houston, TX 77587-4464 | 2016-03-07 |
| 1013242320 | Margaret Alice Vasquez | Nurse Practitioner | 1500 Main St, South Houston, TX 77587-4252 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOUSTON |
| Zip Code | 77587 |
Please comment or provide details below to improve the information on MRS. ABISOYE IFASEYI ODUTAYO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.