Omolara Abidemi Olanrewaju

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06190014 Issued in TX

Practice address

2535 E Arkansas LN Ste 311
Arlington, TX 76010-8702

Phone

(817) 874-6387

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFGEDD
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Beulah Family Clinic Professional Limited Liability Company

  • Clinic/Center
  • Desoto, TX
  • NPI 1750144150

  Single Specialty

  Medicare reassignment NPD
• Hephzibah Visiting Clinicians

  • Family Nurse Practitioner
  • Desoto, TX
  • NPI 1083101075

  Single Specialty

  Medicare reassignment NPD
• Nexphase Healthcare

  • Family Medicine Physician
  • Mansfield, TX
  • NPI 1083220024

  Single Specialty

  Medicare reassignment NPD
• Nexphase Healthcare LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Arlington, TX
  • NPI 1497369474
  NPD (past)

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1306426549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 E ARKANSAS LN STE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760108702",
            "telephone_number": "817-874-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 E ARKANSAS LN STE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760108702",
            "telephone_number": "817-874-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLANREWAJU",
        "first_name": "OMOLARA",
        "middle_name": "ABIDEMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "734757",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F06190014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaine Kay Oladell, M.D.
• Mojisola Helen Olaide
• Bukola Oluwatoyin Olajide
• Olajoju Oresanya
• Olami Group, Inc
• Annah Motunrayo Olaomo
• Kolade Akinjide Olaoye
• Adebayo T Olatunji, NP
• Erica Oldfield, IBCLC
• Callistus C Olisaeke

• Family Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.