MRS. OLUBUSOLA TEMIDAYO DARAMOLA (NPI# 1871842161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871842161 |
| Entity Type | Individual |
| Full Name | MRS. OLUBUSOLA TEMIDAYO DARAMOLA |
| Practice Address |
206 Walls Dr Cleburne TX 76033-4045 |
| Mailing Address |
6080 S Hulen St Suite 360 Pmb 229 Fort Worth TX 76132-2622 |
| Practice Telephone | 8176450668 |
| Practice Fax Number | 8176450720 |
| Mailing Telephone | 8644262306 |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2013-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
824556 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2035487-04 | 05 | |
| TX | RR MEDICARE PTAN | P01111340 | 01 |
| TX | RR GROUP | DO7564 | 01 |
| TX | BCBS PTAN | 890N47 | 01 |
| TX | 3089625-01 | 05 |
| Street Address |
206 WALLS DR |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76033-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790963130 | Dallas County Hospital District | Skilled Nursing Facility | 206 Walls Dr, Cleburne, TX 76033-4045 | 2008-02-07 |
| 1508418369 | Christopher L Gray | Physical Therapy Assistant | 206 Walls Dr, Cleburne, TX 76033-4045 | 2019-07-11 |
| 1568943710 | Holly Ann Lovitt | Occupational Therapy Assistant | 206 Walls Dr, Cleburne, TX 76033-4045 | 2018-08-26 |
| 1073093753 | Abigail Fender | Speech-Language Pathologist | 206 Walls Dr, Cleburne, TX 76033-4045 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628631 | Barbara Hicks | Technician | 1020 Highland Rd, Cleburne, TX 76033 | 2019-09-12 |
| 1346758315 | Tabatha Estes | Physician Assistant | 2010 W Katherine P Raines Rd Ste 100, Cleburne, TX 76033 | 2018-01-11 |
| 1053836759 | A Bright Foundation | Community/Behavioral Health | 509 Graham Street, Cleburne, TX 76033 | 2017-08-03 |
| 1891162491 | Lesa Hough | Occupational Therapist | 1503 Twin Oaks Ct, Cleburne, TX 76033 | 2015-08-31 |
| 1043695984 | Eduy J James | Nurse Practitioner | 128 S. Ridgeway Drive, Cleburne, TX 76033 | 2015-07-21 |
| 1306235775 | Bavousett's Caring Keepers | Registered Nurse | 405 N. Ridgeway Dr., Suite 1-a, Cleburne, TX 76033 | 2015-01-22 |
| 1679994313 | Health Imaging Partners LLC | Physiological Laboratory | 203 Walls Drive, Ste 101, Cleburne, TX 76033 | 2013-12-24 |
| 1043641079 | Melinda Weber | Counselor | 1819 Cr #1107a, Cleburne, TX 76033 | 2013-12-02 |
| 1356778070 | Jeremy Lamar Carter | Psychologist | 904 E Henderson St, Cleburne, TX 76033 | 2013-09-27 |
| 1770844102 | Heart To Heart Hospice of The Brazos, LLC | Hospice Care, Community Based | 1200 W Henderson St Ste I, Cleburne, TX 76033 | 2012-06-01 |
| Find all providers in zip 76033 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929669 | Jenner Hernandez | Nurse Practitioner | 3405 Fm 2280, Cleburne, TX 76031-7910 | 2020-10-16 |
| 1639710403 | Stephanie Johnsey | Nurse Practitioner | 141 S Westmeadow Dr, Cleburne, TX 76033-4586 | 2019-10-03 |
| 1255897328 | Shellabi Akwi Koffi | Nurse Practitioner | 895 N Nolan River Rd, Cleburne, TX 76033-1249 | 2019-02-13 |
| 1780054163 | Shelley Turk | Nurse Practitioner | 1494 Som County Road 314, Cleburne, TX 76033-9405 | 2015-09-29 |
| 1043695984 | Eduy J James | Nurse Practitioner | 128 S. Ridgeway Drive, Cleburne, TX 76033 | 2015-07-21 |
| 1871191775 | Jacqueline Melgar | Nurse Practitioner | 895 N Nolan River Rd Ste 102, Cleburne, TX 76033-1250 | 2020-10-13 |
| 1285241430 | Renee Suzanne Allen | Nurse Practitioner | 201 Walls Dr, Cleburne, TX 76033-4007 | 2020-09-30 |
| 1558991836 | Stephanie Nichole Perez-montelongo | Nurse Practitioner | 201 Walls Dr, Cleburne, TX 76033-4007 | 2020-01-25 |
| 1790327161 | Melissa Granados | Nurse Practitioner | 201 Walls Dr, Cleburne, TX 76033-4007 | 2019-10-17 |
| 1982160875 | Sarah Mccalla Meek | Nurse Practitioner | 220 N Ridgeway Dr, Cleburne, TX 76033-4115 | 2019-02-15 |
| Find all providers in CLEBURNE | ||||
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| 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.