Oredunni Oguntodu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1114727 Issued in TX

Practice address

109 Garden Grove LN
Red Oak, TX 75154-0163

Phone

(817) 323-0900

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Olive Tree Home Care LLC

  • Home Health Agency
  • Mansfield, TX
  • NPI 1679382394
  NPD
• Zenith Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1780267229
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1003592510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WATERFORD GLEN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639104",
            "telephone_number": "214-903-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GARDEN GROVE LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751540163",
            "telephone_number": "817-323-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNTODU",
        "first_name": "OREDUNNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1114727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Texas Electrodiagnostics and Rehabilitation PA
• Osinachi Nwachukwu Obasi
• Oaks Specialty Pharmacy, Inc
• Oasis Eye Care, PLLC
• Martha Oglesby, APRN-CNP
• Atinuke Osinusi, M.D.
• Barack Austine Otieno, FNP-BC
• Parker & Chamblee LLC
• Sunny Patel, MD
• Cassondra Patterson, COTA

• Psychiatric/Mental Health Nurse Practitioner in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.