Omotayo Grace Allen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1114006 Issued in TX

Practice address

7008 Salem Ave # 117
Lubbock, TX 79424-2226

Phone

(800) 924-7811

Fax

(877) 349-1868

NPI assigned

Aug 9, 2021

Last updated

Oct 23, 2025By 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 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, TX, OH, MO, TN, PA, CO7 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 7

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Swing Care Provider Group PCGroup PAC ID 0244601904, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

12.94 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

43.15

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardio & Renal Therapeutics of North Texas PLLC

  • Nephrology Physician
  • Sherman, TX
  • NPI 1649813296
  Medicare reassignment NPD
• Swing Care Provider Group, P.C.

  • Multi-Specialty Clinic/Center
  • Columbus, OH
  • NPI 1376325415
  Medicare reassignment NPD
• Swing Care Provider Group, PC

  • Multi-Specialty Clinic/Center
  • Pittsburgh, PA
  • NPI 1790541415
  Medicare reassignment NPD
• Swing Care Provider Group, P.C.

  • Multi-Specialty Clinic/Center
  • Lubbock, TX
  • NPI 1447971916

  MI, MO, TN

  Medicare reassignment
• Swing Care Provider Group, PC

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1720930019
  Medicare reassignment
• Swing Care Provider Group, PC

  • Multi-Specialty Clinic/Center
  • State College, PA
  • NPI 1164235925
  NPD
• Swing Care Provider Group PC

  • Multi-Specialty Clinic/Center
  • Henderson, NV
  • NPI 1629834346
  NPD (past)
• Swing Care Provider Group, P.C.

  • Multi-Specialty Clinic/Center
  • East Lansing, MI
  • NPI 1548042682
  NPD (past)
• Swing Care Provider Group, PC

  • Multi-Specialty Clinic/Center
  • Philadelphia, PA
  • NPI 1982417754
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1578237996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 1801",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 SALEM AVE # 117",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242226",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Grant St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191408",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4625 Lindell Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083725",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 S Broad St Ofc 1560",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191091029",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Innovation Blvd Ste 223",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036611",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432150109",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Abbey Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488237302",
            "country_code": "US",
            "telephone_number": "262-667-7326",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Poplar Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193974",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "OMOTAYO",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1114006",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704352831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037714",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024045186",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38409",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q107478",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Karenina Allen
• Brad Stacy Allen, PT
• Cathy L Allen, N.P.
• Charla Beth Allen, M.D.
• Leslie L Allen, FNP-BC
• Sheniqua Allen
• Ted W Allen, MD
• Allervie Health Texas PA (Allergy and Asthma Clinic of West Texas)
• Alliance Medical Supply, Inc.
• Ann Allison, MED, LPC, MDIV-EQUIV

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.