Oluwapelumi Olukotun, APRN, CCM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

4217575

Practice address

3646 Ocean Ranch Blvd
Oceanside, CA 92056-2669

Phone

(571) 400-8461

Fax

(760) 692-2750

NPI assigned

Dec 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Hero's Shelter Inc.

  dba Badmus Insurance Agency

  • Public Health or Welfare Agency
  • Oceanside, CA
  • NPI 1962890053

  Case Management

  NPD Authorized official
• Lumiscope Health Services

  • Health Service Clinic/Center
  • Washington, DC
  • NPI 1598376659

  Case Management

  NPD Authorized official
• Pelumi Badmus Ins. Agency, LLC

  dba Vogue Assurance

  • Supports Brokerage Agency
  • Washington, DC
  • NPI 1770014268

  Case Management

  NPD Authorized official

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

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1265820278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "SAN LUIS REY",
            "state": "CA",
            "postal_code": "920680558",
            "telephone_number": "571-400-8461",
            "fax_number": "760-692-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 OCEAN RANCH BLVD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562669",
            "telephone_number": "571-400-8461",
            "fax_number": "760-692-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUKOTUN",
        "first_name": "OLUWAPELUMI",
        "name_prefix": "Ms.",
        "credential": "APRN, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-27",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1103X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Data Abstracter/Coder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": "4217575",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332100000X",
            "taxonomy_group": "",
            "desc": "Department of Veterans Affairs (VA) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "4217575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kristine Olesen
• Veronica Olivares
• Marlene Olivas-Gradias
• Monique Olivieri
• Krister Olsson
• Josefina Olvera, B.A.
• Jessica K Onanian
• Denise Oneil, M.S.
• Vicky Ong, PT
• Jorge Alberto Ontiveros-Ramirez, MD

• Case Manager/Care Coordinator in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.