P Praxis·MD
● Active Type 1 · Individual

MS. Omobolaji Allyson Awoniyi, NP

Nurse Practitioner·Austin, TX· NPI 1477110443 · Enumerated 2019 · 7 years on NPI
Awoniyi is 1 of 231 nurse practitioner providers in Austin and 1 of 5264 in Texas.
NPI age
7 years
Enumerated 2019-05-23
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5264 active nurse practitioner providers in Texas.

NPI age
7 years
≈ at median (8 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
4100 Duval Rd Ste 200
Austin, TX 787593550
📞 8558767246fax 8552775070
Mailing address
Po Box 208354
Dallas, TX 753208354
📞 5124857208fax 8443648678

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
18181 Butterfield Blvd Ste 140
Morgan Hill, CA 950378108
📞 4083565292fax 4083565307
Location 3
3425 S Bascom Ave Ste 200
Campbell, CA 950087300
📞 4083565292fax 4083565307
Location 4
3201 S Austin Ave Ste 265
Georgetown, TX 786267641
📞 5129538120fax 5124857224

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    TX license #1019549 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    CA license #95011572 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (TX) 1M9194 TEXAS MEDICARE PTAN
01 (TX) 1M9195 TEXAS MEDICARE PTAN
01 (TX) 1019549 TEXAS NP LICENSE
01 (TX) 1M9200 TEXAS MEDICARE PTAN
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 10 new nurse practitioner providers have been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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