Individual provider Active NPI

Olaide O Owoloye

  • Family Nurse Practitioner
  • Weatherford, OK
National Provider Identifier
1053971804
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215940 Issued in OK
Practice address
4200 Carriage Way
Weatherford, OK 73096-9614
Phone
(405) 814-1915
Fax
(405) 814-1951
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 215940 OK Primary

Addresses

Primary practice location

4200 Carriage Way
Weatherford, OK 73096-9614

Mailing address

1920 E 1St St Ste F
Chandler, OK 74834-2483
Phone (405) 654-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250129002145 OK Practitioner - Nurse Practitioner 1052840477 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Pediatrics, LLCGroup PAC ID 2668856477, 3 clinicians
Best Physicians at Home, IncGroup PAC ID 7012138662, 10 clinicians

Practice addresses (Care Compare)

1001 Hospital Cir
Kingfisher, OK 73750-5002
Phone (405) 375-7935

1920 E 1St St
Suite F
Chandler, OK 74834-2439
Phone 4056540013100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215940OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal City Health and Wellness LLC Family Current Accepting new patients
Allied Wound Care Specialist PLLC CurrentSince Feb 1, 2025 Accepting new patients
Triad Pediatrics, LLC Family CurrentSince Aug 21, 2025 Accepting new patients
Mavie LLC CurrentSince Jun 4, 2025 Accepting new patients
Best Physicians at Home, Inc CurrentSince Nov 25, 2024 Accepting new patients

Locations

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

1920 E 1st St
Ste F
Chandler, OK 74834
Phone (405) 255-2155

1001 Hospital Cir
Kingfisher, OK 73750
Phone (405) 368-5460

4220 N Classen Blvd
Ste C
Oklahoma City, OK 73118
Phone (405) 900-4995

8600 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 681-6625

4200 Carriage Way
Weatherford, OK 73096
Phone (405) 505-2505

Interoperability endpoints

  • Direct secure messaging: olaide.owoloye.1@26327.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1053971804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E 1ST ST STE F",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748342483",
            "telephone_number": "405-654-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CARRIAGE WAY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969614",
            "telephone_number": "405-814-1915",
            "fax_number": "405-814-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOLOYE",
        "first_name": "OLAIDE",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "215940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.