Individual provider Active NPI

Love Olanrewaju Olaleye, APRN

  • Family Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1114777562
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1008751 Issued in TX
Practice address
4222 Moulton St
Greenville, TX 75401-5844
Phone
(864) 428-7358
Fax
(469) 242-9726
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 1008751 TX Primary
Registered Nurse 163W00000X 1008751 TX

Addresses

Primary practice location

4222 Moulton St
Greenville, TX 75401-5844

Mailing address

4222 Moulton St
Greenville, TX 75401-5844
Phone (864) 428-7358

Other practice location 1

218 N 3rd Ave
Durant, OK 74701-4310
Phone (864) 428-7358

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
I20250228000727 TX Practitioner - Nurse Practitioner 2365962719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1008751TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Health and Wellness LLC CurrentSince Jan 23, 2025 Accepting new patients

Locations

3819 State Highway 34 S
Ste D
Greenville, TX 75402
Phone (864) 428-7358

4222 Moulton St
#B
Greenville, TX 75401

Organizations & group practices 1

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1114777562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 MOULTON ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015844",
            "telephone_number": "864-428-7358",
            "fax_number": "469-242-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 MOULTON ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015844",
            "telephone_number": "864-428-7358",
            "fax_number": "469-242-9726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747014310",
            "country_code": "US",
            "telephone_number": "864-428-7358",
            "fax_number": "469-242-9726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLALEYE",
        "first_name": "LOVE",
        "middle_name": "OLANREWAJU",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1008751",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1008751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.