Kehinde Tade
Nurse Practitioner, Psych/Mental Health in Houston, TX. Individual provider (NPI-1).
NPI number1104715010
StatusActive
Last updated in NPPESJul 3, 2025
Details
- NPI
- 1104715010
- Entity type
- Individual (NPI-1)
- Name
- Kehinde Tade
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2025
- Certification date
- Jul 3, 2025
- Last updated
- Jul 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 1182150 | TX | Yes |
Practice location
8700 Commerce Park Dr Ste 220Houston, TX 77036-7431
Phone 617-792-5508
Mailing address
2718 Grand Fountains Dr Unit FHouston, TX 77054-4041
Phone 719-308-1868
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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