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

Oluwatosin Fakorede

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1497614481

Oluwatosin Fakorede is a Nurse Practitioner in San Antonio, Texas. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2026

Practice location Address checks out

6609 Blanco Rd
San Antonio, TX 78216-6152
Phone: (210) 940-2764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1094804 (TX)

Record details

NPI number1497614481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2026
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

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)
Accepts Medicare assignment Not indicated

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