Oluwakemi Temitayo Obajuwonlo

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

818969 Issued in NV

Practice address

990 Sierra Ridge St
Henderson, NV 89002-9739

Phone

(702) 934-0219

NPI assigned

Oct 29, 2020

Last updated

Aug 15, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Hope Haven Medical LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
  • NPI 1629962063
  NPD Authorized official

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1659971414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 AVERY PARK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105488",
            "telephone_number": "702-934-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SIERRA RIDGE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029739",
            "telephone_number": "702-934-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAJUWONLO",
        "first_name": "OLUWAKEMI",
        "middle_name": "TEMITAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NV",
            "license": "818969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oasis Counseling LLC
• Oasis Medical Associates Inc
• Oasis Surgery Center L.L.C.
• Joyce M Oates, M.D.
• Amal Kamil Obaid-Schmid, MD
• Tiffany Obene
• Donna Oberlin
• Obhg Nevada PC
• Isioma Lorraine Obiazor
• Kayla Ocampo

• General Practice Registered Nurse in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.