Individual provider Active NPI

Janet Amenisomi Oladipo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, WA
National Provider Identifier
1053073114
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1054590 Issued in TX
Practice address
3955 156TH St NE
Marysville, WA 98271-4831
Phone
(254) 939-2100
NPI assigned
Oct 6, 2021
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1054590 TX Primary

Addresses

Primary practice location

3955 156TH St NE
Marysville, WA 98271-4831

Mailing address

3955 156TH St NE
Marysville, WA 98271-4831

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Belton Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, NC, IA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220329002971 WA Practitioner - Nurse Practitioner 9032505177 Reassigns benefits to 3 organizations
I20230201002920 TX Practitioner - Nurse Practitioner 9032505177 Reassigns benefits to 7 organizations
I20240403000563 NC Practitioner - Nurse Practitioner 9032505177 Reassigns benefits to 4 organizations
I20250331002607 IA Practitioner - Nurse Practitioner 9032505177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Crest ClinicGroup PAC ID 9537063409, 8 clinicians
Forefront-Matteson Medical Services PCGroup PAC ID 8527473693, 12 clinicians
Garner Behavioral Hospital LLCGroup PAC ID 4981072238, 23 clinicians

Practice addresses (Care Compare)

2206 E Central Texas Expy
Killeen, TX 76543-5315
Phone (254) 519-4162

2810 Coliseum Centre Dr
Suite 120
Charlotte, NC 28217-3255
Phone (972) 449-0540

3200 Waterfield Dr
Garner, NC 27529-7727
Phone (919) 502-1187

6404 International Pkwy
Suite 1010
Plano, TX 75093-8346
Phone (972) 267-1988

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Oct 7, 2023 Accepting new patients
Forefront-Rush Medical Service PA CurrentSince Mar 22, 2024 Accepting new patients
Cedar Crest Clinic CurrentSince Feb 6, 2024 Accepting new patients
Vest Seattle, LLC Psychiatric/Mental Health CurrentSince Feb 23, 2022 Accepting new patients
Forefront Telecare Inc CurrentSince Aug 3, 2025 Accepting new patients
Temple Behavioral Healthcare Hospital Inc CurrentSince Oct 19, 2023 Accepting new patients
North Texas Behavioral Health Authority Psychiatric/Mental Health CurrentSince Jun 6, 2025 Accepting new patients
Garner Behavioral Hospital, LLC CurrentSince Oct 16, 2025 Accepting new patients
Brynn Marr Hospital Inc CurrentSince Apr 15, 2024 Accepting new patients
Ezzia Healthcare PLLC CurrentSince Nov 1, 2022 Accepting new patients
Temple Behavioral Healthcare Hospital Inc Current Accepting new patients
Cedar Crest Clinic CurrentSince Feb 6, 2024 Accepting new patients
United Psychiatry Institute, LLC CurrentSince Jul 1, 2025 Accepting new patients
Cedar Crest Clinic Current Accepting new patients
North Texas Behavioral Health Authority PastSince Apr 24, 2022 Accepting new patients
Texas Behavioral Health PLLC PastSince Jul 15, 2016 Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

192 Village Dr
Jacksonville, NC 28546
Phone (910) 577-1400

3500 Quakerbridge Rd
#105
Trenton, NJ 08619

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

8402 Cross Park Dr
Austin, TX 78754
Phone (512) 215-3900

3500 S Interstate 35
Belton, TX 76513
Phone (254) 939-2100

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

2206 E Central Texas Expy
Killeen, TX 76543
Phone (254) 213-5111

12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (713) 429-5232

6404 International Pkwy
Ste 1010
Plano, TX 75093
Phone (972) 267-1988

17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400

9802 Evergreen Way
Everett, WA 98204
Phone (425) 610-3171

3955 156th St NE
Marysville, WA 98271
Phone (360) 651-6400

7356 15th Ave NW
Seattle, WA 98117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD
  • Direct secure messaging: janet.oladipo.1@24287.direct.athenahealth.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1053073114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 156TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 156TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714831",
            "telephone_number": "254-939-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADIPO",
        "first_name": "JANET",
        "middle_name": "AMENISOMI",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1054590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Belton",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Cedar Crest Hospital & RTC",
            "address_2": "3500, I-35",
            "city": "Belton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

Verify at the official NPI Registry.