Oluwaremilekun Rachel Oluwasegun

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

383126 Issued in TX

Practice address

2340 Shirecreek Cir
Grand Prairie, TX 75052-7839

Phone

(651) 500-8086

NPI assigned

Apr 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Remi Falodun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1306465612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SHIRECREEK CIR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527839",
            "telephone_number": "651-500-8086",
            "fax_number": "817-400-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SHIRECREEK CIR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527839",
            "telephone_number": "651-500-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWASEGUN",
        "first_name": "OLUWAREMILEKUN",
        "middle_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "383126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REMI",
            "last_name": "FALODUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erick D Oliver
• Monserat Olmos, PNP-PC
• Olayinka Amazingrace Olojede, LVN
• Angela Olukitibi, PMHNP-BC
• Goddy Sunny Olunkwa, MHA
• Dekh Omar
• Teresa Moraa Omboga X
• Omega Healthnest LLC
• Omega Healthnest LLC
• Omni Housecalls LLC

• Licensed Practical Nurse in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.