Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Imoleayo Omogunsoye

Individual provider Registered Nurse · NPI 1255945713

Imoleayo Omogunsoye is a Nurse Practitioner in Houston, Texas. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

8623 Mapletwist St
Houston, TX 77083-6859
Phone: (346) 303-5186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 1207194 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 977989 (TX)

Record details

NPI number1255945713
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address1155 Dairy Ashford Rd, Houston, TX 77079-3021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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