Individual provider Active NPI

Oluwafunmilayo Esther Oyetola

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1003793993
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1208064 Issued in TX
Practice address
8645 Vanderbilt LN Apt 2104
Fort Worth, TX 76120-4956
Phone
(915) 704-9589
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1208064 TX Primary

Addresses

Primary practice location

8645 Vanderbilt LN Apt 2104
Fort Worth, TX 76120-4956

Mailing address

8645 Vanderbilt LN Apt 2104
Fort Worth, TX 76120-4956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251122001565 TX Practitioner - Nurse Practitioner 7911499363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perioperative and Transitional Medicine Group PLLCGroup PAC ID 7214245646, 34 clinicians

Practice addresses (Care Compare)

8220 Walnut Hill LN
Suite 600
Dallas, TX 75231-4433
Phone (214) 238-3074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1208064TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perioperative and Transitional Medicine Group PLLC Family CurrentSince Nov 12, 2025 Accepting new patients

Locations

701 Highlander Blvd
#260
Arlington, TX 76015
Phone (817) 583-7100

8220 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 238-3074

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFCDDD/Endpoint/JFCDDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1003793993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 VANDERBILT LN APT 2104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 VANDERBILT LN APT 2104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204956",
            "telephone_number": "915-704-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYETOLA",
        "first_name": "OLUWAFUNMILAYO",
        "middle_name": "ESTHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1208064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.