Funmilayo Oluwole, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

271514 Issued in AZ

Practice address

2400 W Dunlap Ave Ste 124
Phoenix, AZ 85021-2813

Phone

(801) 369-8989

Fax

(801) 704-9741

NPI assigned

Mar 24, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD, DC, AZ3 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Circle the CityGroup PAC ID 3971824442, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: funmilayo.oluwole.1@11818.direct.athenahealth.com

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.

• Circle the City

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1346588316
  Medicare reassignment Care Compare group NPD
• Alante Primary Care and Palliative Services LLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1700468527
  Medicare reassignment NPD
• Numinus Wellness Ut Inc

  • Psychiatry Physician
  • Springville, UT
  • NPI 1265092282

  AZ

  Medicare reassignment NPD
• Clearwater Healthcare LLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1013754951
  NPD Authorized official
• Clearwater Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsdale, AZ
  • NPI 1780468579
  NPD Authorized official
• Mind 247 Practice LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1902472467
  Medicare reassignment
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  DC

  Medicare reassignment
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC

  Medicare reassignment
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ

  Medicare reassignment
• Alante Primary Care W LLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1568279792
  NPD
• Circle the City

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1144093972
  NPD
• Circle the City

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1346755295
  NPD

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1780115345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W DUNLAP AVE STE 124",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212813",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W DUNLAP AVE STE 124",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212813",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWOLE",
        "first_name": "FUNMILAYO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R156972",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "271514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassidy Olsson
• Simon Olstein, MD
• Brooke Ashley Oltsik
• Keauna Olugu, D.O. PH.D
• Emmanuel Oluwadare
• Jacqueline Barrera Olvera, NP
• Olympic Physical Therapy, Inc
• Kimhiek Om, PHARMD
• Nathaniel Oman, PHARMD
• Evelyn Tan Omana-Roldan, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.