Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modupe Olatunde

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063059756

Modupe Olatunde is a Nurse Practitioner in Grand Prairie, Texas. Qualified in 2019, 7 years ago. Practices with Dallas County Mental Health and Mental Retardation Center, a 69-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

1020 S Carrier Pwky
Grand Prairie, TX 75051
Phone: (214) 743-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6039 Cedar Glen Dr, Grand Prairie, TX 75052-0409 — (817) 733-7604

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP143862 (TX)

Record details

NPI number1063059756
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2019
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dallas County Mental Health And Mental Retardation Center — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Prairie