Individual provider Active NPI

Olumayowa Omoyeni

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1356847529
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP136392 Issued in TX
Practice address
5000 Riverside Dr
Irving, TX 75039-4316
Phone
(214) 764-9915
Fax
(214) 764-9193
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136392 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP136392 TX Primary

Addresses

Primary practice location

5000 Riverside Dr
Irving, TX 75039-4316

Mailing address

5867 Lorenzo Dr
Grand Prairie, TX 75052-8765

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180719001609 TX Practitioner - Nurse Practitioner 7618224841 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Reset Medical Group PAGroup PAC ID 9638699291, 11 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (862) 235-4743

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Reset Medical Group PA Psychiatric/Mental Health CurrentSince Mar 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Jun 21, 2018 Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Haven Psychiatry and Wellness PLLC Psychiatric/Mental Health CurrentSince May 7, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Jun 21, 2018 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5900 W Pleasant Ridge Rd
Arlington, TX 76016
Phone (817) 468-6041

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

5000 Riverside Dr
Ste 100E
Irving, TX 75039
Phone (214) 764-9915

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221

2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1356847529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5867 LORENZO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RIVERSIDE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394316",
            "telephone_number": "214-764-9915",
            "fax_number": "214-764-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOYENI",
        "first_name": "OLUMAYOWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136392",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.