Kayode Zacchaeus Oluwayomi, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2021029253 Issued in TX

Practice address

1602 Ridgemont Dr
Wichita Falls, TX 76309-1505

Phone

(940) 222-0448

NPI assigned

Oct 27, 2021

Last updated

Jun 11, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1447914221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 RIDGEMONT DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091505",
            "telephone_number": "940-222-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 RIDGEMONT DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091505",
            "telephone_number": "940-222-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWAYOMI",
        "first_name": "KAYODE",
        "middle_name": "ZACCHAEUS",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2021029253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Morgan Olinger, DMD
• Lateshna D Oliver
• Olney-Hamilton Hospital District (Texhoma Christian Care Center Inc.)
• Adam Olson, PHARMD
• Randy Lloyd Olson, M.D.
• Oncology Pharmacy Services Inc (Texas Oncology Pharmacy Wichita Falls)
• David Brandt Oneal, AGAC-NP
• Onward Behavioral Services
• Lauren Opersteny, PHARMD
• Rebecca Opoku, PMHNP

• Psychiatric/Mental Health Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, 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 Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.