Owen O Omoragbon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP127005 Issued in TX

Practice address

1230 River Bend Dr Ste 105
Dallas, TX 75247-4916

Phone

(972) 559-8003

NPI assigned

Oct 13, 2009

Last updated

Nov 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Appraise Health Clinic PLLCGroup PAC ID 9537421086, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: owen@ahcp-tx.direct.office.nextgen.com

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.

• Appraise Health Clinic, PLLC

  • Primary Care Nurse Practitioner
  • Dallas, TX
  • NPI 1093251399
  Medicare reassignment Care Compare group NPD Authorized official
• Mindful Balance PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1144104522
  NPD

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1225363906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 RIVER BEND DR STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474916",
            "telephone_number": "972-559-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 RIVER BEND DR STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474916",
            "telephone_number": "972-559-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMORAGBON",
        "first_name": "OWEN",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "010877",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Olaoluwa Omolade, APRN PMHNP
• Rabiu E Omolaja, LPC
• Onikepo O Omonira, AGACNP-BC
• Rabi Omonua
• Islamia A Omoola, REGISTERED NURSE
• Ehiosu Patrick Omorodion
• On Eagles Wings, Inc (Woven Health Clinic)
• On Epiphany Lane, LLC (Epiphany Lane Counseling)
• On the Go Transportation Services
• On Time Home Health Providers Inc (On Time Home Health Agency)

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; 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.