SUNDAY OMOROTIOMWAN (NPI# 1417425307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417425307 |
| Entity Type | Individual |
| Full Name | SUNDAY OMOROTIOMWAN |
| Practice Address |
2815 Pino Grand Prairie TX 75054-0109 |
| Practice Telephone | 8177980575 |
| Mailing Telephone | 8177980575 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0068284 | OK | Nursing Service Providers |
| Street Address |
2815 PINO |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75054-0109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518516798 | Joyce King Mathews | Technician | 6928 Clipper Dr., Grand Prairie, TX 75054 | 2019-09-10 |
| 1144883117 | Helpmates of America, LLC | Non-emergency Medical Transport (VAN) | 7315 Vienta Point, Grand Prairie, TX 75054 | 2019-04-16 |
| 1962931220 | Ai Community Services LLC | Preferred Provider Organization | 6928 Shoreway Dr, Grand Prairie, TX 75054 | 2017-06-08 |
| 1689014110 | Skilled Speech Pathology Services, Pllc | Home Health | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
| 1649538661 | Surety Care Home Health Services Inc | Home Health | 3032 S Camino Lagos, Grand Prairie, TX 75054 | 2012-04-27 |
| 1295986578 | Bcp Health Care Incorporated | Nursing Care | 3008 Nadar, Grand Prairie, TX 75054 | 2008-10-06 |
| 1275656274 | Alexus Dutchess Medical Consulant | Durable Medical Equipment & Medical Supplies | 3167 Gudaloupe, Grand Prairie, TX 75054 | 2007-04-06 |
| 1922431022 | Urgent Plus Care LLC | Internal Medicine | 7227 Cana, Grand Prairie, TX 75054 | 2013-08-13 |
| 1578903084 | Katrina Taylor- Green | Speech-Language Pathologist | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
| 1275822009 | Homage Healthcare Services, Inc | Home Health | 3008 Nadar, Grand Prairie, TX 75054 | 2011-04-01 |
| Find all providers in zip 75054 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605421 | Brittani Presley | Licensed Practical Nurse | 4951 Eyrie Ct, Grand Prairie, TX 75052-3061 | 2020-06-29 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1588285027 | Irene Matuto | Licensed Practical Nurse | 1016 Gaines Mills Rd, Grand Prairie, TX 75052-1621 | 2020-05-06 |
| 1306465612 | Oluwaremilekun Rachel Oluwasegun | Licensed Practical Nurse | 2340 Shirecreek Cir, Grand Prairie, TX 75052-7839 | 2020-04-16 |
| 1740763432 | Teresia Mwango Maangi | Licensed Practical Nurse | 2415 Carson Trl, Grand Prairie, TX 75052-7865 | 2018-09-10 |
| 1922509058 | Crystal Mireles | Licensed Practical Nurse | 3111 Parham Dr Apt 151, Grand Prairie, TX 75052-8226 | 2018-02-23 |
| 1043682453 | Shelly Rose Wilkes | Licensed Practical Nurse | 3103 Parham Dr Apt 227, Grand Prairie, TX 75052-7726 | 2015-10-24 |
| 1033491691 | Lise Dorrough | Licensed Practical Nurse | 3249 Cathedral Dr, Grand Prairie, TX 75052-6492 | 2011-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234500 | Ka'leria Cunningham | Licensed Practical Nurse | 442 Carroll Ave, Wake Village, TX 75501-5733 | 2020-10-27 |
| 1073113387 | Tiffiany Hansen | Licensed Practical Nurse | 163 County Road 1856, Chico, TX 76431-3429 | 2020-10-27 |
| 1538769740 | Kerri Kathleen Benavides | Licensed Practical Nurse | 2424 Wilcrest Dr Ste 100, Houston, TX 77042-2753 | 2020-10-27 |
| 1144828740 | Gabriella M Carrillo | Licensed Practical Nurse | 1712 E 13th St, Monahans, TX 79756-2129 | 2020-10-15 |
| 1366040198 | Michelle Merritt Gary | Licensed Practical Nurse | 118 Merritt Ln, Hemphill, TX 75948-3137 | 2020-10-14 |
| 1508464652 | Ariana Wilson | Licensed Practical Nurse | 1125 Elm St, Abilene, TX 79602-3718 | 2020-10-12 |
| 1962009431 | Victoria A Jernigan | Licensed Practical Nurse | 250 County Road 4311, Hondo, TX 78861-5035 | 2020-10-07 |
| 1558968271 | Dana Marie Griffin | Licensed Practical Nurse | 9747 Harbor Mist Ln, Converse, TX 78109-1836 | 2020-10-06 |
| 1184221772 | Coretta Renee Thomas | Licensed Practical Nurse | 1204 G W Jackson Ave, Corsicana, TX 75110-5604 | 2020-10-06 |
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75054 |
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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.