Olamide T Kolawole

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1130966 Issued in TX

Practice address

2636 Walnut Hill LN Ste 350
Dallas, TX 75229-5684

Phone

(469) 432-7154

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Olamide T Israel Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Single Specialty, TX

  Medicare reassignment NPD
• The Oak Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
  • NPI 1811745813

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1801577820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LN STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295684",
            "telephone_number": "469-432-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LN STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295684",
            "telephone_number": "469-432-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAWOLE",
        "first_name": "OLAMIDE",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1130966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLAMIDE",
            "last_name": "ISRAEL",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maletta T Kokoricha, PHARMD
• Kokoro Body Therapies, PLLC
• Kokoro Health & Wellness Inc.
• Sireesha Kolachalama, MD
• Colleen Henry Kolar, SLP
• Sammantha Lea Kolb, RD, LD
• Stephanie Lee Kolb, MD
• Marcin Konrad Kolber, M.D.
• Ayeeshik Kole
• Austin Koliba, RD. LD

• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.

Verify at the official NPI Registry.