Fasilat Olasumbo, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2024091331 Issued in CO

Practice address

1685 Eaton St # 80214
Lakewood, CO 80214-1680

Phone

(720) 309-3712

NPI assigned

Dec 11, 2024

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Integrative Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CO
  • NPI 1770389736
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1144036476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 EATON ST # 80214",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141680",
            "telephone_number": "720-309-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 EATON ST # 80214",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141680",
            "telephone_number": "720-309-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLASUMBO",
        "first_name": "FASILAT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "2024091331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ohalek, DPT
• Patricia Wylie Ohara, LMFT, LPC
• Megan Lynae Ohlendorf, COTA
• Ohollearn Chiropractic PC
• David B Okeefe, MD
• Rafael J Olivares, MD
• Rebecca Oliveira, M.S.W., L.S.W.
• Kristen Oliver, MA, LMFT
• Matthew Olko, D.C
• Susan Ollar, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.