Active NPI
Shield Olubunmi Olabamiji
- Pediatrics Physician
- Arlington, TX
National Provider Identifier
1316696271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V9683
- Practice address
- 300 W Arbrook Blvd
Arlington, TX 76014-3105 - Phone
- (817) 652-9192
- NPI assigned
- Mar 19, 2022
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | V9683 | TX | Primary |
Addresses
Primary practice location
300 W Arbrook Blvd
Arlington, TX 76014-3105
Mailing address
300 W Arbrook Blvd
Arlington, TX 76014-3105
Phone (817) 652-9192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220707002117 | NV | Order and Referring Only - Pediatric Medicine | 1850771981 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V9683 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1316696271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W ARBROOK BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760143105",
"telephone_number": "817-652-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W ARBROOK BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760143105",
"telephone_number": "817-652-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLABAMIJI",
"first_name": "SHIELD",
"middle_name": "OLUBUNMI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-19",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V9683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.