Olumide T Remi-Johnson, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1151066 Issued in TX

Practice address

11615 Forest Central Dr
Dallas, TX 75243-3921

Phone

(855) 204-2502

Fax

(775) 402-4133

NPI assigned

Jul 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kotel AtxGroup PAC ID 9537578810, 27 clinicians

Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, 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.

• Kotel Atx

  • Adult Mental Health Clinic/Center
  • Austin, TX
  • NPI 1568055192
  Medicare reassignment Care Compare group NPD
• Meridian Health Partners PLLC

  • Internal Medicine Physician
  • Liberty Hill, TX
  • NPI 1215533807
  Medicare reassignment Care Compare group NPD
• Mindcare Alliance Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1124817606

  Family

  Medicare reassignment NPD Authorized official
• Royal V.P., LLC

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1770052516
  Medicare reassignment NPD
• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381

  TX

  Medicare reassignment NPD
• Meridian Health Post Acute PLLC

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1609731819
  NPD
• Project H.O.P.E., Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1891969218
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1346920477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 FOREST CENTRAL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433921",
            "telephone_number": "973-462-1868",
            "fax_number": "775-402-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 FOREST CENTRAL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433921",
            "telephone_number": "855-204-2502",
            "fax_number": "775-402-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMI-JOHNSON",
        "first_name": "OLUMIDE",
        "middle_name": "T",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1151066",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1151066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14883000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rem Sleep Diagnostics Frisco LLC
• Rem Sleep Diagnostics, LLC
• Remarkable Healthcare of Dallas, LP
• Remed Medical Group PLLC
• Samuel Tedford Remer, D.O.
• Remission Health LLC
• Remkem Corporation
• Lindsey C Remme, D.O.
• Remote Cardiology Services, PLLC
• Jill M Remshardt, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, 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 Jan 7, 2026; 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.