Active NPI
Omolayo Taiwo, NP
- Family Nurse Practitioner
- Burnsville, MN
National Provider Identifier
1922557776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP 4793
- Practice address
- 11939 River Hills Dr
Burnsville, MN 55337-1354 - Phone
- (651) 235-8198
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP 4793 | MN | Primary |
Addresses
Primary practice location
11939 River Hills Dr
Burnsville, MN 55337-1354
Mailing address
11939 River Hills Dr
Burnsville, MN 55337-1354
Phone (651) 235-8198
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP 4793 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1922557776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11939 RIVER HILLS DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553371354",
"telephone_number": "651-235-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11939 RIVER HILLS DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553371354",
"telephone_number": "651-235-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAIWO",
"first_name": "OMOLAYO",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2023-02-09",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "CNP 4793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.