Individual provider Active NPI

Caroline Olotu, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1992107015
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP7330 Issued in AZ
Practice address
4525 S Lakeshore Dr Ste 102
Tempe, AZ 85282-7047
Phone
(480) 572-9759
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP7330 AZ
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP7330 AZ Primary

Addresses

Primary practice location

4525 S Lakeshore Dr Ste 102
Tempe, AZ 85282-7047

Mailing address

3240 E Wisteria PL
Chandler, AZ 85286-0163
Phone (480) 572-9759

Other practice location 1

150 N Lakeview Blvd Unit 28
Chandler, AZ 85225-5845
Phone (602) 405-2029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141210001501 AZ Practitioner - Nurse Practitioner 5193047785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4525 S Lakeshore Dr
Suite 102
Tempe, AZ 85282-7047
Phone (480) 572-9759

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP7330AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service CurrentSince Feb 3, 2018 Accepting new patients
Stepsup LLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Little Sanctuary Health Center Multi-Specialty CurrentSince Dec 19, 2019 Accepting new patients
District Medical Group, Inc Multi-Specialty Current Accepting new patients
Jewish Family & Children's Service Multi-Specialty Current Accepting new patients
Jewish Family & Children's Service CurrentSince Feb 3, 2018 Accepting new patients

Locations

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

4525 S Lakeshore Dr
Ste 102
Tempe, AZ 85282
Phone (480) 572-9759

4525 S Lakeshore Dr
Tempe, AZ 85282
Phone (312) 877-7493

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1992107015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 E WISTERIA PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852860163",
            "telephone_number": "480-572-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S LAKESHORE DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827047",
            "telephone_number": "480-572-9759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Lakeview Blvd Unit 28",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852255845",
            "country_code": "US",
            "telephone_number": "602-405-2029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOTU",
        "first_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP7330",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.