Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olumide T Remi-Johnson, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1346920477

Olumide T Remi-Johnson, NURSEPRACTITIONER is a Nurse Practitioner in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Kotel Atx, a 26-clinician group and accepts Medicare assignment. Licensed in New Jersey and Texas.

Years since qualifying
2
Licensed in
NJ, TX
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

11615 Forest Central Dr
Dallas, TX 75243-3921
Phone: (855) 204-2502
Fax: (775) 402-4133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1151066 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1151066 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ14883000 (NJ)

Record details

NPI number1346920477
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kotel Atx — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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