Individual provider Active NPI

Olayemi Oluwakemi Ajepe, NP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1093106916
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127155 Issued in TX
Practice address
3806 Broken Pine CT
Sugar Land, TX 77479-3366
Phone
(281) 866-1614
NPI assigned
Feb 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2016

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 AP127155 TX Primary

Addresses

Primary practice location

3806 Broken Pine CT
Sugar Land, TX 77479-3366

Mailing address

PO Box 3727
Ann Arbor, MI 48106-3727
Phone (281) 866-1614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20161209001980 MI Practitioner - Nurse Practitioner 4981761434 Reassigns benefits to 1 organization
I20240301000378 OH Practitioner - Nurse Practitioner 4981761434 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127155TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 15, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 7, 2023 Accepting new patients
Mytos Home Health Inc PastSince Jan 16, 2009 Accepting new patients

Locations

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1093106916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3727",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063727",
            "telephone_number": "281-866-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 BROKEN PINE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793366",
            "telephone_number": "281-866-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJEPE",
        "first_name": "OLAYEMI",
        "middle_name": "OLUWAKEMI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.