Active NPI
Opeyemi Olusola
- Family Nurse Practitioner
- Crowley, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 06182542
- Practice address
- 13409 Hartland St
Crowley, TX 76036-1305 - Phone
- (214) 717-0454
- NPI assigned
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 06182542 | TX | Primary |
Addresses
Primary practice location
13409 Hartland St
Crowley, TX 76036-1305
Mailing address
13409 Hartland St
Crowley, TX 76036-1305
Phone (214) 717-0454
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4545 Bellaire Dr S
Suite 9
Fort Worth, TX 76109-1811
Phone (817) 763-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06182542 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collin Medical & Wellness Group PLLC | Family | Current | Accepting new patients |
| Post Acute Specialists of Texas PA | Family | Current | Accepting new patients |
| Mark Lindemann DO PA | Current | Accepting new patients | |
| Crystal Mind Psychiatry and Counseling | Past | Accepting new patients |
Locations
2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551
4545 Bellaire Dr S
Ste 9
Ft Worth, TX 76109
Phone (817) 732-6060
307 S McDonald St
Ste 500
McKinney, TX 75069
Phone (469) 202-7572
307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521
Interoperability endpoints
- opeyemiolusola@usoapas.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/IHGIBD/Endpoint/IHGIBD
- https://api.platform.athenahealth.com/25728/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1487835914
-
- Family Nurse Practitioner
- Rowlett, TX
- NPI 1134730534
-
- Geriatric Medicine (Family Medicine) Physician
- Austin, TX
- NPI 1942859350
-
- Psychiatric/Mental Health Nurse Practitioner
- McKinney, TX
- NPI 1962185769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1063989119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13409 HARTLAND ST",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760361305",
"telephone_number": "214-717-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13409 HARTLAND ST",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760361305",
"telephone_number": "214-717-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUSOLA",
"first_name": "OPEYEMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "06182542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.