Individual provider Active NPI

Funmi Olubunmi Olukoya, ARNP, FNP

  • Family Nurse Practitioner
  • Blythe, CA
National Provider Identifier
1629307202
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017309 Issued in CA
Practice address
1415 W Hobsonway
Blythe, CA 92225-1479
Phone
(760) 922-4981
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 658920 TX
Family Nurse Practitioner 363LF0000X 658920 TX
Primary Care Nurse Practitioner 363LP2300X 305957 AZ
Family Nurse Practitioner 363LF0000X 95017309 CA Primary

Addresses

Primary practice location

1415 W Hobsonway
Blythe, CA 92225-1479

Mailing address

21802 Silverpeak CT
Katy, TX 77450-5622
Phone (832) 633-3186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, NV, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160502000151 TX Practitioner - Nurse Practitioner 7911206677 Reassigns benefits to 1 organization
I20230821001828 CA Practitioner - Nurse Practitioner 7911206677 Reassigns benefits to 2 organizations
I20230821001883 NV Practitioner - Nurse Practitioner 7911206677 Reassigns benefits to 1 organization
I20250502001318 AZ Practitioner - Nurse Practitioner 7911206677 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
658920TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC Current Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince Aug 4, 2025 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Mar 7, 2025 Accepting new patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Signify Health Medical Associates of California, PC Nurse Practitioner CurrentSince Aug 8, 2023 Accepting new patients
Practitioners Without Walls, LLC Primary Care CurrentSince Apr 29, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Nov 15, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 8, 2023 Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Aug 4, 2025 Accepting new patients
Clinicas de Salud del Pueblo, Inc. Past Accepting new patients

Locations

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

15333 N Pima Rd
Ste 305
Scottsdale, AZ 85260
Phone (480) 225-3236

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

321 W Hobsonway
Ste C
Blythe, CA 92225
Phone (760) 922-4981

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958

4055 Valley View Ln
Ste 600
Dallas, TX 75244

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

Interoperability endpoints

  • Direct secure messaging: funmi.olukoyafnp.p1@direct.nextcare.nextgenshare.com
  • Direct secure messaging: funmi.olukoya.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 10

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": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1629307202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21802 SILVERPEAK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505622",
            "telephone_number": "832-633-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251479",
            "telephone_number": "760-922-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUKOYA",
        "first_name": "FUNMI",
        "middle_name": "OLUBUNMI",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "658920",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "658920",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "305957",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

Verify at the official NPI Registry.