Temitayo Olotewo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP140052 Issued in TX

Practice address

5017 Heritage Ave
Colleyville, TX 76034-5994

Phone

(817) 545-9100

NPI assigned

Feb 11, 2019

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)

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 and National Provider Directory roles.

• Tko Group Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
  • NPI 1134878960
  NPD Authorized official
• Comfort Care Hospice, LLC

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1902183312
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1750846184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 ALTON WAY",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345994",
            "telephone_number": "817-545-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7125 Marvin D Love Fwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373111",
            "country_code": "US",
            "telephone_number": "972-572-5000",
            "fax_number": "888-750-8159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2436 S I 35 E Ste 336",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762054900",
            "country_code": "US",
            "telephone_number": "940-484-7000",
            "fax_number": "888-750-8159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOTEWO",
        "first_name": "TEMITAYO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G166242",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick O'Dea
• Michael T O'Leary
• Miles Obrien, LPC ASSOCIATE
• Ariel Marie Ojeda
• William Laurence Oliver, D.D.S.
• Donna J Olson, PA
• On Point DME
• Alexa Ortiz
• Dennis L Ortiz, DO
• Nicholas Overbeck, LPC

• Family Nurse Practitioner in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.