OLUDOTUN OLUYEMI PETERS


Address: 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722
Phone: 6828851050

OLUDOTUN OLUYEMI PETERS (NPI# 1598300402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598300402
Entity Type Individual
Full Name OLUDOTUN OLUYEMI PETERS
Credential PMHNP
Practice Address 901 7th Ave Ste 2200
Fort Worth
TX 76104-2722
Mailing Address Po Box 733784
Dallas
TX 75373-3784
Practice Telephone 6828851050
Practice Fax Number 6828857572
Mailing Telephone 6828851860
Mailing Fax Number 6828851396
Enumeration Date 2019-11-14
Last Update Date 2019-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP143490 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 404348101 05

Office Location

Street Address 901 7TH AVE STE 2200
City FORT WORTH
State TX
Zip Code 76104-2722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154641215 Akemi Watkins Psychiatry & Neurology 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722 2010-06-10
1578057402 Jordan A Marr Social Worker 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722 2018-06-14
1215321104 Meredith Melton Lavallais Psychiatry & Neurology 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722 2015-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386257814 Daniel Oyewusi Oyewole Nurse Practitioner 4051 Hunters Creek Dr, Fort Worth, TX 76123-2549 2020-08-25
1174147037 Ugbodu Ene Awoniyi Nurse Practitioner 4924 Cliburn Dr, Fort Worth, TX 76244-6130 2020-06-05
1346863925 Lynnetta Vanice Cheeks Nurse Practitioner 6101 Saddlepack Dr, Fort Worth, TX 76123-1591 2020-05-18
1073143160 Dorcas Mwangi Nurse Practitioner 4809 Campfire Ct, Fort Worth, TX 76244-7922 2020-01-17
1497390686 Chigane Abraham Nurse Practitioner 8609 Glenburne Dr, Fort Worth, TX 76131 2019-11-12
1457895666 Paul Geise Nurse Practitioner 3501 Ne Loop 820, #306, Fort Worth, TX 76137-2415 2016-12-06
1477005007 Amie Wolverton Riddle Nurse Practitioner 320 Silver Canyon Dr, Fort Worth, TX 76108-9612 2016-10-31
1659742211 Kamesha Roshun Mitchell Nurse Practitioner 3100 Hulen St, Fort Worth, TX 76107 2015-10-08
1255592424 Akosua Serwaa Obeng Nurse Practitioner 8949 Silent Brook Ln, Fort Worth, Fort Worth, TX 76244-4946 2008-06-20
1154518470 Dawn Dean Nurse Practitioner 124 Cooks Ln, Fort Worth, TX 76120-2016 2007-10-01
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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