Individual provider Active NPI

Temitayo Osunde-Sodimu, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1598912347
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
706185 Issued in TX
Practice address
1230 River Bend Dr Ste 107
Dallas, TX 75247-4916
Phone
(214) 272-9008
NPI assigned
Aug 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 706185 TX Primary

Addresses

Primary practice location

1230 River Bend Dr Ste 107
Dallas, TX 75247-4916

Mailing address

4600 Mark IV Pkwy Unit 162254
Fort Worth, TX 76161-5252
Phone (214) 272-9008

Other identifiers 1

IdentifierTypeStateIssuer
321060101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090415000547 TX Practitioner - Nurse Practitioner 5193872885 Reassigns benefits to 2 organizations
Practice locations: Fort Worth, TX
I20260215000185 DC Practitioner - Nurse Practitioner 5193872885 Reassigns benefits to 1 organization
I20260407003408 AZ Practitioner - Nurse Practitioner 5193872885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Dallas, TX 75244-4910

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 4, 2026 Accepting new patients
Kingsbrook Senior Care PastSince Mar 25, 2013 Accepting new patients

Locations

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1598912347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MARK IV PKWY UNIT 162254",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761615252",
            "telephone_number": "214-272-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 RIVER BEND DR STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474916",
            "telephone_number": "214-272-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNDE-SODIMU",
        "first_name": "TEMITAYO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-23",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "706185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321060101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.