Green Pasture Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GREEN PASTURE PSYCHIATRY LLC

Practice address

10907 Observatory Way
Tampa, FL 33647-3583

Phone

(727) 509-5226

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Olamiju Olaleye, ANPNPI 1891113932

Title

Owner

Phone

(727) 509-5226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olamiju Olaleye, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1891113932

  CO

  Medicare reassignment Authorized official
• Kehinde Tolulope Olaleye

  • Neurology Physician
  • Tampa, FL
  • NPI 1659032746
  NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1861260804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 OBSERVATORY WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 OBSERVATORY WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473583",
            "telephone_number": "727-509-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PASTURE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "OLALEYE",
        "authorized_official_first_name": "OLAMIJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-509-5226",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grecia S Ibarra Aprn LLC
• Cherice Greco, PSY. S.
• James L Greco Jr., OD
• Green Lake Village Inc
• Green Lightening Healthcare
• Green Senior Care of Tampa LLC
• Gavril S Green-Goodman, ARNP
• Adam S Green, MD
• Allison Green
• Amani Green

• Psychiatric/Mental Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.