Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE OMOTAYO, DNP
Deactivated Sole ProprietorDR. STEPHANIE OMOTAYO, DNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in WAXAHACHIE, Texas. NPI 1184139362 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · WAXAHACHIE, TX
This NPI has been deactivated.
The record was deactivated on December 19, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1184139362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2017 (0.027397260273973 yrs)
- Last Updated
- Jun 17, 2025
- Deactivated
- Dec 19, 2017
- Licenses
-
AP135407 (TX)AP135407 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1626 W HIGHWAY 287 BUSINESS STE 104WAXAHACHIE, TX, 751654728Browse TX providers · Browse ZIP 75165
- Phone
- 4694142615
- Fax
- 4692429743
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Family Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in WAXAHACHIE, TX
| Name | Credential | NPI |
|---|---|---|
| SHEILA MARIE VINSON | NP | 1932610995 |
| UGBODU ENE AWONIYI | PMHNP | 1174147037 |
| AMANDA DEANNE WEATHERFORD | — | 1659081438 |
| JACQUELINE RUTINWA | — | 1821871278 |
| MARIA EVA OLAN-ROGERS | — | 1194567883 |
| LIONIE SANGO | APRN | 1669349668 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.