Individual provider Active NPI

Oyinlola Oludiran, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1063882306
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP129508 Issued in TX
Practice address
77 Sugar Creek Center Blvd Ste 460
Sugar Land, TX 77478-3786
Phone
(855) 501-1004
Fax
(888) 570-1766
NPI assigned
Sep 29, 2015
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129508 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP129508 TX Primary

Addresses

Primary practice location

77 Sugar Creek Center Blvd Ste 460
Sugar Land, TX 77478-3786

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

Other names 1

  • Mrs. Oyinlola Taiwo Professional name

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
I20160115001157 TX Practitioner - Nurse Practitioner 2466755962 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

24044 Cinco Village Ctr Blvd
Suite 100
Katy, TX 77494-8433
Phone (832) 383-4221

77 Sugar Creek Ctr Blvd
Suite 460
Sugar Land, TX 77478-3786
Phone (832) 821-0124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129508TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation CurrentSince Jun 20, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Healthcare Liaison Services, LLC CurrentSince Dec 1, 2015 Accepting new patients
M&M Clinical Group CurrentSince Jun 1, 2020 Accepting new patients
Mindpath Health Texas PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
J9 Medical Management LLC CurrentSince Jul 2, 2024 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Mark David Levine, MD Psychiatrists Professional Corporation Psychiatric/Mental Health CurrentSince Apr 3, 2025 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Caremore Medical Associates PLLC CurrentSince Oct 6, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Dr Ohealling PLLC Psychiatric/Mental Health CurrentSince Jan 2, 2025 Accepting new patients
Houston Family Physicians PA CurrentSince Apr 4, 2017 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
American Visiting Doctors LLC CurrentSince Dec 1, 2015 Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Enriched Lives Health Services Family CurrentSince Mar 1, 2023 Accepting new patients
Home Visiting Doctors Management LLC CurrentSince Dec 1, 2015 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Nov 1, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jun 20, 2024 Accepting new patients

Locations

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

5350 Bellaire Blvd
Unit 355
Bellaire, TX 77402

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

512 W Rosedale St
Fort Worth, TX 76104
Phone (817) 289-8263

11861 S Sam Houston Pkwy W
Ste A
Houston, TX 77031
Phone (281) 564-3535

8313 Southwest Fwy
Ste 105
Houston, TX 77074
Phone (713) 773-1102

8968 Kirby Dr
Houston, TX 77054
Phone (713) 492-0433

24044 Cinco Village Center Blvd
Ste 100
Katy, TX 77494
Phone (713) 332-2788

4102 Woodlawn Ave
Ste 230
Pasadena, TX 77504

77 Sugar Creek Center Blvd
Ste 460
Sugar Land, TX 77478
Phone (832) 821-0124

Interoperability endpoints

  • Direct secure messaging: mptx.oyinlola.oludiran@149977.advancedmd-direct.com
  • Direct secure messaging: oyinlola.oludiran.p5@direct.caremoreagp.nextgenshare.com

Organizations & group practices 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1063882306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900",
            "fax_number": "916-277-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD STE 460",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783786",
            "telephone_number": "855-501-1004",
            "fax_number": "888-570-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUDIRAN",
        "first_name": "OYINLOLA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129508",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP129508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OYINLOLA",
            "last_name": "TAIWO",
            "prefix": "MRS.",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.