Innocent Omale, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP136144 Issued in TX

Practice address

2900 Highway 121 Ste 120
Bedford, TX 76021-4033

Phone

(817) 921-3000

NPI assigned

Feb 14, 2018

Sex

Male

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Turning Point Psychiatry & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
  • NPI 1417525692

  Family

  Medicare reassignment NPD Authorized official
• Post Acute Specialists of Texas PA

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1942859350
  Medicare reassignment NPD
• Raj Shiwach, MD, PA

  • Psychiatry Physician
  • Desoto, TX
  • NPI 1750589016
  Medicare reassignment NPD
• Suzanne M. Guynes, M.D.P.a.

  • Geriatric Psychiatry Physician
  • Weatherford, TX
  • NPI 1063601466
  Medicare reassignment NPD
• Albert Boyd MD PA

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1336329150
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1326548637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 RIDGE HAVEN DR",
            "address_2": "412",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760119061",
            "telephone_number": "469-684-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HIGHWAY 121 STE 120",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214033",
            "telephone_number": "817-921-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMALE",
        "first_name": "INNOCENT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136144",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ofsa Bedford PLLC
• Sam Saenal Oh, PHARMD
• Nurudeen O Olagunju
• Julie Lomonaco Olivo, M.D.
• Graciela Nicole Olvera
• Omnihealth Physicians Group
• Iyen Omoragbon, FNP
• Oncology Pharmacy Services
• Gary T Ongley, LPC, LCSW
• Florence Folaranmi Oni, APRN

• Psychiatric/Mental Health Nurse Practitioner in Bedford, TX
• Providers in Bedford, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

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