OLUKEMI A KUKU-OJO (NPI# 1114417854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114417854 |
Entity Type | Individual |
Full Name | OLUKEMI A KUKU-OJO |
Other Name | OLUKEMI A KUKU |
Credential | PMHNP |
Practice Address |
1234 Empire St Ste 2200 Fairfield CA 94533 |
Mailing Address |
Po Box 1776 Vacaville CA 95696-1776 |
Practice Telephone | 7074397830 |
Mailing Telephone | 7143233822 |
Enumeration Date | 2018-05-17 |
Last Update Date | 2018-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95009037 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1234 EMPIRE ST STE 2200 |
City | FAIRFIELD |
State | CA |
Zip Code | 94533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528015203 | Les Paul Kalman | Psychiatry & Neurology | 1234 Empire St Ste 2200, Fairfield, CA 94533 | 2006-05-28 |
1912504069 | Yesenia Vazquez | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-10-01 |
1275147373 | Claire Cepeda Kelley | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-09-04 |
1568070241 | Carleta Dover | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-07-17 |
1316561269 | Jaymar Binag | Licensed Vocational Nurse | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-06-05 |
1669013165 | Kristina Etling | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2019-10-05 |
1437710027 | Tracy Lynn Epps | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2019-06-24 |
1083270813 | Luis J Castillo | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2019-05-16 |
1265903199 | Angelica Naranjo | Case Manager/Care Coordinator | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2018-12-17 |
1174003669 | Fannette Scott | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2018-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
Find all providers in zip 94533 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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1609496033 | Angela Dossett | Nurse Practitioner | 301 W Burlington Ave, Fairfield, IA 52556-3242 | 2020-04-27 |
1083110092 | Laura Petiford Pmhnp, LLC | Nurse Practitioner | 1525 Kings Hwy Ste 206, Fairfield, CT 06824-5321 | 2018-03-30 |
1346786704 | Hiedi Lane Arnp, Pllc | Nurse Practitioner | 1101 E Hempstead Ave, Fairfield, IA 52556-3035 | 2017-01-10 |
1467994244 | Jeffrey Leininger | Nurse Practitioner | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2016-11-10 |
1528415163 | Angela Saini | Nurse Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2016-05-24 |
1871861625 | Ryan John Dillon | Nurse Practitioner | 52 Beach Rd, Fairfield, CT 06824-6641 | 2011-12-08 |
Find all providers in FAIRFIELD |
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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.