Kehinde Tolulope Olaleye

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

11015452 Issued in FL

Practice address

15267 Amberly Dr
Tampa, FL 33647-2155

Phone

(813) 972-5414

NPI assigned

Jan 1, 2022

Last updated

Jan 3, 2022By 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 2

Addresses

Other names 1

• Kehinde Tolulope Adeyemo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Green Pasture Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1861260804
  NPD

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1659032746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 OBSERVATORY WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473583",
            "telephone_number": "813-650-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15267 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-972-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALEYE",
        "first_name": "KEHINDE",
        "middle_name": "TOLULOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015452",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "11015452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEHINDE",
            "last_name": "ADEYEMO",
            "middle_name": "TOLULOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vcitor Okwute
• Kolade Olabode, MD, MPH
• Edmun Dale Olaes, APRN
• Jarrod Michael Olafson
• John Olajide
• Olamiju Olaleye, APRN
• Isabella Sofia Olarte
• Olayinka Bankole MD PA (Tampa Medical Clinic)
• Older & Slonim MD's PA (J. Justin Older Eyelid Institute)
• Jay Justin Older, MD

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.