Active NPI
Omobolanle Aanuoluwa Oluwunmi, AGNP-C, PMHNP-BC
- Gerontology Nurse Practitioner
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP135016
- Practice address
- 3542 Heartland Key Lane
Katy, TX 77494 - Phone
- (281) 704-8923
- NPI assigned
- Sep 4, 2017
- Last updated
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP135016 | TX | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP135016 | TX |
Addresses
Primary practice location
3542 Heartland Key Lane
Katy, TX 77494
Mailing address
3542 Heartland Key LN
Katy, TX 77494-1408
Phone (281) 704-8923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Multi-Specialty | Current | Accepting new patients |
| Vpa of Texas PLLC | Multi-Specialty | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
Interoperability endpoints
- omobolanle.oluwunmi.p1@direct.alegiscare.nextgenshare.com
- omobolanle.oluwunmi.p2@direct.alegiscare.nextgenshare.com
Organizations & group practices 3
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Multi-Specialty
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1801314430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3542 HEARTLAND KEY LN",
"city": "KATY",
"state": "TX",
"postal_code": "774941408",
"telephone_number": "281-704-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3542 HEARTLAND KEY LANE",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "281-704-8923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUWUNMI",
"first_name": "OMOBOLANLE",
"middle_name": "AANUOLUWA",
"credential": "AGNP-C, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-04",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP135016",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP135016",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.