Individual provider Active NPI

Oliver Saimon Olotu

  • Nurse's Aide
  • Overland Park, KS
National Provider Identifier
1881288116
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
120944 Issued in KS
Practice address
10235 Grandview St Apt a
Overland Park, KS 66212-4278
Phone
(913) 709-7008
Fax
(913) 499-6687
NPI assigned
Feb 26, 2021
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 120944 KS Primary

Addresses

Primary practice location

10235 Grandview St Apt a
Overland Park, KS 66212-4278

Mailing address

10235 Grandview St Apt a
Overland Park, KS 66212-4278
Phone (913) 709-7008

Other practice location 1

10235 Grandview St Apt A
Overland Park, KS 66212-4278
Phone (913) 709-7008

Other names 1

  • Oliver Saimon Kimathi Former name

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

State licenses

LicenseStateTypeSpecialty
120944KSMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Choice Support, LLC Current Accepting new patients
Abundant Services,LLC CurrentSince Feb 8, 2023 Accepting new patients
Serenity in Home Care Services, LLC CurrentSince Mar 28, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1881288116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10235 GRANDVIEW ST APT A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124278",
            "telephone_number": "913-709-7008",
            "fax_number": "913-499-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10235 GRANDVIEW ST APT A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124278",
            "telephone_number": "913-709-7008",
            "fax_number": "913-499-6687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10235 Grandview St Apt A",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662124278",
            "country_code": "US",
            "telephone_number": "913-709-7008",
            "fax_number": "913-499-6687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOTU",
        "first_name": "OLIVER",
        "middle_name": "SAIMON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "KS",
            "license": "120944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVER",
            "last_name": "KIMATHI",
            "middle_name": "SAIMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.