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

Mr. Samuel Olaoluwa Omolade, APRNPMHNP

Individual provider Licensed Practical Nurse · NPI 1548799141

Mr. Samuel Olaoluwa Omolade, APRNPMHNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York, Texas and Washington.

Years since qualifying
6
Licensed in
NY, TX, WA
In the registry since
2017
Specialties on file
5
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Practice location Address checks out

11650 McCree Rd
Dallas, TX 75238-5224
Phone: (718) 304-4906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1904 Arnow Ave, Bronx, NY 10469-3334 — (718) 304-4906

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1099855 (TX)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 320878-1 (NY)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence 958104 (TX)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 958104 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61366158 (WA)

Record details

NPI number1548799141
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNPMHNP
Sole proprietorYes
NPI enumeratedJune 7, 2017
Last updated in NPPESJuly 15, 2023
Certification dateJuly 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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