Individual provider Active NPI

Oludari Olutokunbo Olajide, APRN

  • Primary Care Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1346852191
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
113962 Issued in OK
Practice address
10700 N Council Rd Apt 3
Oklahoma City, OK 73162-4366
Phone
(405) 532-3953
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 113962 OK Primary

Addresses

Primary practice location

10700 N Council Rd Apt 3
Oklahoma City, OK 73162-4366

Mailing address

10700 N Council Rd Apt 3
Oklahoma City, OK 73162-4366
Phone (405) 532-3953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20250201000207 OK Practitioner - Nurse Practitioner 0446789689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Physicians at Home, IncGroup PAC ID 7012138662, 10 clinicians

Practice addresses (Care Compare)

8600 S Pennsylvania Ave
Oklahoma City, OK 73159-5233
Phone (405) 768-4438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
113962OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Physicians at Home, Inc CurrentSince Nov 24, 2024 Accepting new patients

Locations

511 E 1st St
Chandler, OK 74834
Phone (405) 258-0014

1920 E 1st St
Ste F
Chandler, OK 74834
Phone (405) 255-2155

1920 E 1st St
Ste B
Chandler, OK 74834

8600 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 681-6625

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1346852191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N COUNCIL RD APT 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624366",
            "telephone_number": "405-532-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N COUNCIL RD APT 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624366",
            "telephone_number": "405-532-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAJIDE",
        "first_name": "OLUDARI",
        "middle_name": "OLUTOKUNBO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "113962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.