Individual provider Active NPI

Olaitan B Sonuga, FNP

  • Family Nurse Practitioner
  • Watertown, MA
National Provider Identifier
1891049292
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1066905 Issued in TX
Practice address
260 Arsenal PL
Watertown, MA 02472-3171
Phone
(999) 999-9999
NPI assigned
Nov 7, 2012
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1066905 TX Primary

Addresses

Primary practice location

260 Arsenal PL
Watertown, MA 02472-3171

Mailing address

260 Arsenal PL
Watertown, MA 02472-3171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA, TX, PA, NJ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20140723001819 RI Practitioner - Nurse Practitioner 5698991842 Reassigns benefits to 3 organizations
I20170810000995 MA Practitioner - Nurse Practitioner 5698991842 Reassigns benefits to 1 organization
I20230216000453 TX Practitioner - Nurse Practitioner 5698991842 Reassigns benefits to 2 organizations
I20240830000595 PA Practitioner - Nurse Practitioner 5698991842 Reassigns benefits to 2 organizations
I20240917000220 NJ Practitioner - Nurse Practitioner 5698991842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mighty Health Medical Services PAGroup PAC ID 5991238198, 5 clinicians

Practice addresses (Care Compare)

100 S Juniper St
FL 3
Philadelphia, PA 19107-1316
Phone (714) 873-6202

1201 Fannin St
Suite 262
Houston, TX 77002-6943
Phone (714) 873-6202

Merit-based Incentive Payment System (MIPS)

Final score
81.3 of 100Reported as group
Quality
76.96
Improvement activities
40
Cost
79.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1066905TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Community Health, Inc. CurrentSince Jun 30, 2017 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Jul 12, 2024 Accepting new patients
Mighty Health Medical Services, P.a. Nurse Practitioner CurrentSince Oct 19, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jul 12, 2024 Accepting new patients
Center of New England Urgent Care Inc CurrentSince Aug 1, 2014 Accepting new patients
North Providence Urgent Care CurrentSince Apr 1, 2013 Accepting new patients
Center of New England Primary Care Inc CurrentSince May 11, 2014 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Oct 19, 2023 Accepting new patients

Locations

390 NE 191st St
Ste 8174
Miami, FL 33179
Phone (714) 873-6202

269 Union St
Lynn, MA 01901
Phone (781) 581-9832

280 Union St
Ste 202
Lynn, MA 01901
Phone (781) 780-4555

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

775 Centre of New England Blvd
Coventry, RI 02816
Phone (401) 615-7860

1830 Mineral Spring Ave
North Providence, RI 02904
Phone (401) 351-1190

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: osonuga204009@direct.ochin.org

Organizations & group practices 8

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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1891049292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 ARSENAL PL",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 ARSENAL PL",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723171",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONUGA",
        "first_name": "OLAITAN",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1066905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.