Islamia A Omoola, REGISTERED NURSE

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

954527 Issued in TX

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(214) 875-7176

NPI assigned

Jan 4, 2019

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

Other identifiers 1

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1184197964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-875-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOOLA",
        "first_name": "ISLAMIA",
        "middle_name": "A",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "TX",
            "license": "954527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERD NURSE",
            "identifier": "954527",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Omoegbele, MSN, FNP-BC
• Samuel Olaoluwa Omolade, APRN PMHNP
• Rabiu E Omolaja, LPC
• Onikepo O Omonira, AGACNP-BC
• Rabi Omonua
• Owen O Omoragbon, NP
• On Eagles Wings, Inc
• On Epiphany Lane, LLC
• On the Go Transportation Services
• On Time Home Health Providers Inc

• Rehabilitation Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Rehabilitation Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.