Active NPI
Millicent Olulade
- Gerontology Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1285113274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 105522
- Practice address
- 101 Park Ave Ste 1310
Oklahoma City, OK 73102-7216 - Phone
- (405) 664-4252
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 105522 | OK | Primary |
Addresses
Primary practice location
101 Park Ave Ste 1310
Oklahoma City, OK 73102-7216
Mailing address
101 Park Ave Ste 1310
Oklahoma City, OK 73102-7216
Phone (405) 664-4252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105522 | OK | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1285113274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PARK AVE STE 1310",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731027216",
"telephone_number": "405-664-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARK AVE STE 1310",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731027216",
"telephone_number": "405-664-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLULADE",
"first_name": "MILLICENT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OK",
"license": "105522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.