Okebukola Adebisi Olayiwola

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

810092 Issued in TX

Practice address

14114 Rosebriar Glen CT
Rosharon, TX 77583-2960

Phone

(281) 748-3679

NPI assigned

Jul 21, 2022

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

State licenses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124753322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 ROSEBRIAR GLEN CT",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775832960",
            "telephone_number": "281-748-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 ROSEBRIAR GLEN CT",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775832960",
            "telephone_number": "281-748-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYIWOLA",
        "first_name": "OKEBUKOLA",
        "middle_name": "ADEBISI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "810092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Busola Ogungbile
• Frederick Ogwara, MD
• Nnennaya Ojingwa, PMHNP-BC
• Olaide Ojuri
• Olubunmi Oketunmbi
• Olive Non -Emergency Medical Transportation LLC
• Degil Omictin, NP-C
• Omni Diapers Inc
• Omni Medical Supply Inc
• One Stop Clinical Research, Inc.

• Registered Nurse in Rosharon, TX
• Providers in Rosharon, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.