Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568521573 Individual Practitioner Female Practitioner

Olufunmilola Ogunmodede , RN

Nurse Practitioner • Pueblo, CO

Professional Overview & Biography Verified Profile Summary

Olufunmilola Ogunmodede, RN is a registered healthcare professional specializing in Nurse Practitioner in Pueblo, CO. Practice services are available at 3937 IVYWOOD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3937 Ivywood Ln

Pueblo, CO 810052551

Telephone 7195530111
Fax 8339182238
Associated Practice Facility / Clinic
🏢 Southern Colorado Clinic Pc Facility NPI 1598371056

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pueblo, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
56 Specialists

Practicing in Pueblo, CO (1283 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CO APN.0999232

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CO APN.0999232-NP

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CO 111416

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Secondary Practice Locations

15400 E 14th Pl Ste 309

Aurora, CO 800115828

Phone: 3033633022

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1689622920

Doctor of Medicine (M.D.)

Dr. Robert Lutes , MD

Family Medicine

NPI 1972659134

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 23, 2024

Registered at 3937 IVYWOOD LN, PUEBLO, CO 810052551 (Tel: 7195530111)

📍
Updated Business Mailing Address October 23, 2024

Registered at PO BOX 9000, PUEBLO, CO 810089000 (Tel: 7195530111)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2024

Nurse Practitioner (License #APN.0999232 in CO)

NPI Profile Active October 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2010

Registered at 15400 E 14TH PL STE 309, AURORA, CO 800115828 (Tel: 3033633022)

📍
Updated Business Mailing Address October 26, 2010

Registered at 6162 S. WILLOW DRIVE, SUITE 100, GREENWOOD VILLAGE, CO 801115114 (Tel: 3032209200)

👤
Provider Name / Credentials Updated October 26, 2010

Recorded as OLUFUNMILOLA OGUNMODEDE, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2010

Registered Nurse (License #111416 in CO)

🟢
Initial NPI Registration & Enumeration December 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568521573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2006
Last Update: October 23, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 9000

Pueblo, CO 810089000

Phone: 7195530111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.