Tko Group Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TKO GROUP CORPORATION

Practice address

7548 Preston Rd
Frisco, TX 75034-5683

Phone

(609) 556-8805

NPI assigned

Mar 20, 2022

Organization subpart

No

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

Authorized official

Name

Temitayo OlotewoNPI 1750846184

Title

President

Phone

(609) 556-8805

Specialties & licenses 1

Addresses

Other names 1

• First Step Tele Psych Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Temitayo Olotewo, NP

  • Family Nurse Practitioner
  • Colleyville, TX
  • NPI 1750846184

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1134878960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7548 PRESTON RD",
            "address_2": "STE 141 PMB 1122",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7548 PRESTON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345683",
            "telephone_number": "609-556-8805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 Gentle Knoll Ln",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782235",
            "country_code": "US",
            "telephone_number": "609-556-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TKO GROUP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-08-19",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "OLOTEWO",
        "authorized_official_first_name": "TEMITAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-556-8805"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@firststeptelepsych.com",
            "affiliation": "N",
            "address_1": "931 Gentle Knoll Ln",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750782235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "First Step Tele Psych",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Step Tele Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristie Tinh
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• Tiffani J. Tobe, FN-P, HEALTH COACH

• Psychiatric/Mental Health Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.