Individual provider Active NPI

Stella Olufunke Oluwakotanmi, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1306419932
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021246 Issued in CA
Practice address
11007 Vista del Luna Dr
Bakersfield, CA 93311-9182
Phone
(623) 521-9727
NPI assigned
Jul 21, 2021
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021246 CA Primary

Addresses

Primary practice location

11007 Vista del Luna Dr
Bakersfield, CA 93311-9182

Mailing address

11007 Vista del Luna Dr
Bakersfield, CA 93311-9182
Phone (623) 852-1278

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95021246CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1306419932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 VISTA DEL LUNA DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119182",
            "telephone_number": "623-852-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11007 VISTA DEL LUNA DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119182",
            "telephone_number": "623-521-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWAKOTANMI",
        "first_name": "STELLA",
        "middle_name": "OLUFUNKE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.