Individual provider Active NPI

Tokkie O Orogbemi

  • Pediatric Nurse Practitioner
  • Midland, TX
National Provider Identifier
1790435014
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1073518 Issued in TX
Practice address
4214 Mamies Cir
Midland, TX 79707-2123
Phone
(432) 620-8687
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1073518 TX Primary

Addresses

Primary practice location

4214 Mamies Cir
Midland, TX 79707-2123

Mailing address

4214 Mamies Cir
Midland, TX 79707-2123
Phone (432) 620-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1073518TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Pediatric Association, PLLC CurrentSince Apr 14, 2024 Accepting new patients

Locations

4214 Mamies Cir
Midland, TX 79707
Phone (432) 620-8687

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1790435014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 MAMIES CIR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072123",
            "telephone_number": "432-620-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 MAMIES CIR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072123",
            "telephone_number": "432-620-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROGBEMI",
        "first_name": "TOKKIE",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2024-04-10",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1073518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.