MRS. OLASIMBO IFASEWA ODUTAYO (NPI# 1376994566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376994566 |
| Entity Type | Individual |
| Full Name | MRS. OLASIMBO IFASEWA ODUTAYO |
| Other Name | MRS. OLASIMBO IFASEWA ODUTAYO |
| Practice Address |
308 Autumn Park Fort Worth TX 76140-6524 |
| Practice Telephone | 6825523574 |
| Mailing Telephone | 6825523574 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131147 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
308 AUTUMN PARK |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76140-6524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326539552 | Frontier Medical House Call Service LLC | Clinic/Center | 308 Autumn Park, Fort Worth, TX 76140 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030367 | Children & Family Services | Case Manager/Care Coordinator | 10129 South Race Street, Fort Worth, TX 76140 | 2019-05-29 |
| 1366890352 | Charisse Huey | Social Worker | 8512 Cherry Bark Lane, Fort Worth, TX 76140 | 2016-05-31 |
| 1144662479 | Tiwanna Ortiz | Specialist | 9308 Rhoni Court, Fort Worth, TX 76140 | 2013-07-29 |
| 1760618474 | Divine Home Health Care Services | Home Health | 308, Autumn Park, Fort-worth, TX 76140 | 2009-06-09 |
| 1336386044 | John P Murphy | Dentist | 1609 Everman Pkwy, Ft Worth, TX 76140 | 2009-01-16 |
| 1831306596 | Patricia R Morton | Dentist | 6619 Forest Hill #55, Fort Worth, TX 76140 | 2007-05-16 |
| 1669405551 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2006-07-07 |
| 1417994948 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 2816 Se Loop 820, Fort Worth, TX 76140 | 2006-06-01 |
| 1184813818 | American Current Care, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2007-10-18 |
| 1700962990 | Sam's Club Optical | Technician/Technologist | 2440 Se Loop 820, Fort Worth, TX 76140-1008 | 2006-10-31 |
| Find all providers in zip 76140 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556341 | Sarah R Tabor | Nurse Practitioner | 4819 El Campo Ave, Fort Worth, TX 76107-4917 | 2020-10-21 |
| 1336747963 | Thomas Liles | Nurse Practitioner | 4 Carlson Ct, Fort Worth, TX 76119-5901 | 2020-10-15 |
| 1518565597 | Khyatiben Harsh Parikh | Nurse Practitioner | 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 | 2020-10-13 |
| 1225645906 | Manju Karki K C | Nurse Practitioner | 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 | 2020-09-28 |
| 1497361778 | Mulikat Dossou | Nurse Practitioner | 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 | 2020-09-22 |
| 1275148793 | Bianca Adrianna Agnello | Nurse Practitioner | 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676 | 2020-09-11 |
| 1356955363 | Alba C. Rivas | Nurse Practitioner | 6958 Legato Ln, Fort Worth, TX 76134-3727 | 2020-09-07 |
| 1043824139 | Traci D Huff | Nurse Practitioner | 7121 Sundance Ln, Fort Worth, TX 76179-2533 | 2020-09-04 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1619589108 | Megan King | Nurse Practitioner | 9734 N Beach St Ste 100, Fort Worth, TX 76244-6185 | 2020-08-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76140 |
Please comment or provide details below to improve the information on MRS. OLASIMBO IFASEWA ODUTAYO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.