Individual provider Active NPI

Temilola Oladotun, NP

  • Family Nurse Practitioner
  • Plainview, TX
National Provider Identifier
1639822703
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01221063 Issued in TX
Practice address
812 W 8TH Street
Suite 1a
Plainview, TX 79072
Phone
(806) 429-8088
Fax
(888) 296-5176
NPI assigned
Jan 30, 2022
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1073517 TX
Family Nurse Practitioner 363LF0000X F01221063 TX Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 10019681 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 092807-23 NH

Addresses

Primary practice location

812 W 8TH Street
Suite 1a
Plainview, TX 79072

Mailing address

5700 Tennyson Pkwy
Plano, TX 75024-3583
Phone (603) 556-7101

Other practice location 1

60 Commercial St Ste 303
Concord, NH 03301-5096
Phone (630) 687-3081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, NH3 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
I20250108001364 TX Practitioner - Nurse Practitioner 9537697388
I20251201003227 OR Practitioner - Nurse Practitioner 9537697388 Reassigns benefits to 1 organization
I20260430001087 NH Practitioner - Nurse Practitioner 9537697388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umpqua Community Health Center IncGroup PAC ID 0345233078, shared by 7 NPIs, 33 clinicians
Center State Wellness LLCGroup PAC ID 4385077577, 5 clinicians

Practice addresses (Care Compare)

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone (541) 672-9596

20170 N Umpqua Hwy
Glide, OR 97443-9620
Phone (541) 496-3504

60 Commercial St
Suite 303
Concord, NH 03301-5096
Phone (603) 556-7101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01221063TXMDFamily Nurse Practitioner
092807-23NHMDPsychiatric/Mental Health Nurse Practitioner
10019681ORMDPsychiatric/Mental Health Nurse Practitioner
1073517TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clatsop Behavioral Healthcare Single Specialty CurrentSince Sep 15, 2025 Accepting new patients
Umpqua Community Health Center, Inc. Single Specialty CurrentSince Sep 11, 2025 Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Sep 11, 2025 Accepting new patients

Locations

115 W Bond St
Astoria, OR 97103

150 NE Kenneth Ford Dr
Roseburg, OR 97470

65 N Highway 101
Ste 204
Warrenton, OR 97146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/clatsopbh/r4/
  • Direct secure messaging: temilola.oladotun.1@17792.direct.athenahealth.com

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1639822703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 TENNYSON PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243583",
            "telephone_number": "603-556-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W 8TH STREET",
            "address_2": "SUITE 1A",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "79072",
            "telephone_number": "806-429-8088",
            "fax_number": "888-296-5176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Commercial St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015096",
            "country_code": "US",
            "telephone_number": "630-687-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLADOTUN",
        "first_name": "TEMILOLA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1073517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F01221063",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10019681",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "092807-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.