Individual provider Active NPI

Oluwakemi Mausi Ipinlaye

  • Registered Nurse
  • Grand Prairie, TX
National Provider Identifier
1124656368
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
868099 Issued in TX
Practice address
2839 Park Springs Dr
Grand Prairie, TX 75052-8530
Phone
(469) 396-4148
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 868099 TX Primary

Addresses

Primary practice location

2839 Park Springs Dr
Grand Prairie, TX 75052-8530

Mailing address

2839 Park Springs Dr
Grand Prairie, TX 75052-8530
Phone (469) 396-4148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
868099TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1124656368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 PARK SPRINGS DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528530",
            "telephone_number": "469-396-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 PARK SPRINGS DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528530",
            "telephone_number": "469-396-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPINLAYE",
        "first_name": "OLUWAKEMI",
        "middle_name": "MAUSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "868099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.