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

Omowoleola Bakare

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1003766619

Omowoleola Bakare is a Nurse Practitioner in South Jordan, Utah. Qualified in 2025, 1 year ago. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2026

Practice location Address checks out

1654 W Reunion Ave Ste 10B
South Jordan, UT 84095-4676
Phone: (801) 349-2480
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 2025099576 (UT)

Record details

NPI number1003766619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 2, 2026
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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