Individual provider Active NPI

Olurounke Remi-Johnson

  • Family Nurse Practitioner
  • Prosper, TX
National Provider Identifier
1821564535
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1031805 Issued in TX
Practice address
1630 W Prosper TRL Ste 340
Prosper, TX 75078-3742
Phone
(972) 525-0134
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1031805 TX
Family Nurse Practitioner 363LF0000X 1031805 TX Primary
Family Nurse Practitioner 363LF0000X 280781 AZ
Family Nurse Practitioner 363LF0000X 5011095 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01361700 NJ

Addresses

Primary practice location

1630 W Prosper TRL Ste 340
Prosper, TX 75078-3742

Mailing address

291 S Preston Rd Ste 1210
Prosper, TX 75078-1913
Phone (972) 525-0134

Other practice location 1

291 S Preston Rd Ste 1210
Prosper, TX 75078-1913
Phone (972) 525-0134

Other practice location 2

972 Broad St Ste 300
Newark, NJ 07102-2533
Phone (972) 525-0134

Other practice location 3

15 17th Ave
Newark, NJ 07103-2961
Phone (972) 525-0134

Other practice location 4

890 W Elliot Rd Ste 101
Gilbert, AZ 85233-5127
Phone (972) 525-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211215002693 TX Practitioner - Nurse Practitioner 4587909254 Reassigns benefits to 2 organizations
I20221109002166 NJ Practitioner - Nurse Practitioner 4587909254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex Psychiatry and TMS PCGroup PAC ID 7315334000, 41 clinicians

Practice addresses (Care Compare)

15 17TH Ave
Newark, NJ 07103-2961
Phone (972) 525-0134

291 S Preston Rd
Suite 1210
Prosper, TX 75078-1913
Phone (518) 312-4705

777 Route 70 E
Suite G101
Marlton, NJ 08053-2548
Phone (856) 818-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
280781AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince Oct 7, 2022 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Sep 16, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Sep 16, 2021 Accepting new patients
Akroo Inc Psychiatric/Mental Health CurrentSince Jul 30, 2024 Accepting new patients

Locations

890 W Elliot Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 454-1781

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

972 Broad St
Ste 300
Newark, NJ 07102
Phone (844) 401-2229

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

291 S Preston Rd
Ste 1210
Prosper, TX 75078
Phone (972) 525-0134

1630 W Prosper Trl
Ste 340
Prosper, TX 75078
Phone (972) 525-0134

16515 Lexington Blvd
Sugar Land, TX 77479
Phone (281) 980-6666

Organizations & group practices 4

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1821564535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S PRESTON RD STE 1210",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781913",
            "telephone_number": "972-525-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W PROSPER TRL STE 340",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783742",
            "telephone_number": "972-525-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 S Preston Rd Ste 1210",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750781913",
            "country_code": "US",
            "telephone_number": "972-525-0134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "972 Broad St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071022533",
            "country_code": "US",
            "telephone_number": "972-525-0134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032961",
            "country_code": "US",
            "telephone_number": "972-525-0134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 W Elliot Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335127",
            "country_code": "US",
            "telephone_number": "972-525-0134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMI-JOHNSON",
        "first_name": "OLUROUNKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1031805",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1031805",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "280781",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011095",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01361700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.