Olufunmike Ogunleye Okoro

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP142671 Issued in TX

Practice address

610 Streamwood LN
Rosenberg, TX 77469-4999

Phone

(832) 274-9677

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Waller Urgent Care Inc

  • Urgent Care Clinic/Center
  • Waller, TX
  • NPI 1740983550
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1073206629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STREAMWOOD LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774694999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STREAMWOOD LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774694999",
            "telephone_number": "832-274-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "OLUFUNMIKE",
        "middle_name": "OGUNLEYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessing Chinecherem Okafor, PMHNP (NP)
• Joshua Glen Okain, BCBA, LBA
• Jacquelyn Denaye Okeke, LCSW
• Obisike Theodore Okereke, PHARM. D.
• Oyebola Okewole, LVN
• Agnes Okorono, RN
• Adaeze Jennifer Okoye
• Uloma Udeze Okundaye, NP
• Olam Home Care Services LLC
• Olajumoke Olanrewaju

• Family Nurse Practitioner in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.