Active NPI
Olapeju Fakeye
- Psychiatric/Mental Health Nurse Practitioner
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1014537
- Practice address
- 1255 W 15TH St Ste 815
Plano, TX 75075-4208 - Phone
- (972) 673-0404
- NPI assigned
- Jun 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 891088 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1014537 | TX | Primary |
Addresses
Primary practice location
1255 W 15TH St Ste 815
Plano, TX 75075-4208
Mailing address
1255 W 15TH St Ste 815
Plano, TX 75075-4208
Other practice location 1
2021 S Jones Blvd
Las Vegas, NV 89146-3137
Phone (702) 202-0099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891088 | TX | MD | Registered Nurse |
| 1014537 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cerebral Medical Group, a Professional Corporation | Current | Accepting new patients | |
| Kinghaven Counseling Group Inc | Current | Accepting new patients |
Locations
340 S Lemon Ave
Ste 9892
Walnut, CA 91789
Phone (415) 617-9894
6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357
3025 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (214) 257-0682
2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112
Organizations & group practices 2
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.
-
- Case Management Agency
- Houston, TX
- NPI 1396807350
-
- Psychiatry Physician
- Glendale, CA
- NPI 1992355879
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1124642327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 W 15TH ST STE 815",
"city": "PLANO",
"state": "TX",
"postal_code": "750754208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 W 15TH ST STE 815",
"city": "PLANO",
"state": "TX",
"postal_code": "750754208",
"telephone_number": "972-673-0404"
}
],
"practiceLocations": [
{
"address_1": "2021 S Jones Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891463137",
"country_code": "US",
"telephone_number": "702-202-0099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAKEYE",
"first_name": "OLAPEJU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2021-03-11",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "891088",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1014537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.