Individual provider Active NPI

Olaitan Memunat Onasanya, LVN

  • Licensed Vocational Nurse
  • Richmond, TX
National Provider Identifier
1922589175
Registry record updated Aug 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
314799 Issued in TX
Practice address
10522 Tripp LN
Richmond, TX 77407-2121
Phone
(832) 692-6802
NPI assigned
Aug 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 314799 TX Primary

Addresses

Primary practice location

10522 Tripp LN
Richmond, TX 77407-2121

Mailing address

7314 Wimberly Oaks LN
Richmond, TX 77407-1589
Phone (773) 983-4811

Other identifiers 1

IdentifierTypeStateIssuer
314799MedicaidTX

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
314799TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535241600000",
    "number": "1922589175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7314 WIMBERLY OAKS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071589",
            "telephone_number": "773-983-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10522 TRIPP LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072121",
            "telephone_number": "832-692-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONASANYA",
        "first_name": "OLAITAN",
        "middle_name": "MEMUNAT",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2018-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "314799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314799",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.