Jessica Omoegbele, MSN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1127228 Issued in TX

Practice address

6464 E Northwest Hwy Ste 345
Dallas, TX 75214-7801

Phone

(214) 613-0973

NPI assigned

Jul 17, 2023

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 names 1

• Jessica Emetom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, 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 and National Provider Directory roles.

• Texas Allergy & Breathing Centers, P.a.

  • Pulmonary Disease Physician
  • Mesquite, TX
  • NPI 1427225010
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1245919356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 NOEL RD APT 516",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752400208",
            "telephone_number": "832-305-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 E NORTHWEST HWY STE 345",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752147801",
            "telephone_number": "214-613-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOEGBELE",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1127228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "EMETOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Omni Spine Pain Management, PLLC
• Omnicare Laboratory LLC
• Omnihealth Nutrition
• Omnimed Consulting LLC
• Staton Omo-Abu
• Samuel Olaoluwa Omolade, APRN PMHNP
• Rabiu E Omolaja, LPC
• Onikepo O Omonira, AGACNP-BC
• Rabi Omonua
• Islamia A Omoola, REGISTERED NURSE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.