Cordelia Odunayo, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP138725 Issued in TX

Practice address

110 W Randol Mill Rd Ste 200
Arlington, TX 76011-4612

Phone

(214) 892-7151

NPI assigned

Aug 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Permian Basin Community Centers for Mental Health and Mental Retardati 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midland, TX
  • NPI 1700976453

  TX

  Medicare reassignment Care Compare group NPD
• Austin Travis County Mental Health and Mental Retardation Center

  • Psychiatry Physician
  • Austin, TX
  • NPI 1750337259

  Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Behavioral Health of North Texas LLP

  • Prescribing (Medical) Psychologist
  • Dallas, TX
  • NPI 1699328195

  TX

  Medicare reassignment NPD
• My Health My Resources of Tarrant County

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1952423782

  TX

  Medicare reassignment NPD
• Senior Psychcare of Dallas I, PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1942596903

  Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Border Region MH Mr Community Center

  • Psychiatry Physician
  • Laredo, TX
  • NPI 1124060173

  TX

  Medicare reassignment
• Austin Travis County Mental Health and Mental Retardation Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Austin, TX
  • NPI 1053632505
  NPD
• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Counselor
  • Midland, TX
  • NPI 1649442310
  NPD
• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alpine, TX
  • NPI 1851464119
  NPD
• My Health My Resources of Tarrant County

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1376590422
  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1306325790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 WEYBURN DR",
            "city": "VENUS",
            "state": "TX",
            "postal_code": "760841190",
            "telephone_number": "817-703-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W RANDOL MILL RD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114612",
            "telephone_number": "214-892-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUNAYO",
        "first_name": "CORDELIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP138725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP138725",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "110 W Randol Mill Rd Ste 200",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760114612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruth Oday
• Adetunji A Odeyemi
• Fidel Oneal Odom
• Fredrick Odongo
• Tioluwani Odukoya
• Julieann Ofodile, PHARMD
• Donald Ofoh
• Oluwatunmike Ogedengbe
• Brandi Oglesby, BBS
• Elexus Oglesby

• All providers in Arlington, TX
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.