Nnenna Olubajo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP132741 Issued in TX

Practice address

1001 E Tyler Ave
Harlingen, TX 78550-7135

Phone

(956) 423-1194

NPI assigned

Nov 30, 2016

Last updated

Nov 30, 2016By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nevada Mental Care LLC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1053875831
  Medicare reassignment Authorized official
• I.C.a.N. Family Services LLC

  dba I.C.A.N. Family Services

  • Community/Behavioral Health Agency
  • Carson City, NV
  • NPI 1700385044
  NPD (past)

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1326581802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507135",
            "telephone_number": "956-423-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUBAJO",
        "first_name": "NNENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynette Olivarez
• Erika Jewels Olivarez, LMSW
• Erika Nazarea Olivarez
• Julio Olmeda, APRN
• Christopher Evan Olson, M.D.
• Monica Olvera Lopez
• Brooke Omick, OD
• Omni Rehab LLC
• On Call Services Inc
• On Guard Community Health Services

• Psychiatric/Mental Health Nurse Practitioner in Harlingen, TX
• Providers in Harlingen, 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 Nov 30, 2016; 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.