Individual provider Active NPI

Tearra Breeze Obafolahan, APRN

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1003140575
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0036369 Issued in OH
Practice address
6916 Cloister Rd
Toledo, OH 43617-2206
Phone
(567) 298-2344
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0036369 OH Primary

Addresses

Primary practice location

6916 Cloister Rd
Toledo, OH 43617-2206

Mailing address

6916 Cloister Rd
Toledo, OH 43617-2206
Phone (567) 298-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205000744 OH Practitioner - Nurse Practitioner 2466988100 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Observation Physicians of Northwest Ohio LLCGroup PAC ID 7416365630, 37 clinicians
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (567) 408-2002

5700 Monroe St
Unit 211a
Sylvania, OH 43560-2735
Phone (567) 585-0490

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036369OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Observation Physicians of Northwest Ohio LLC CurrentSince Sep 15, 2024 Accepting new patients
The Toledo Hospital Current Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
The Toledo Hospital CurrentSince Aug 30, 2025 Accepting new patients
Promedica Multi Specialty Physicians CurrentSince Oct 1, 2025 Accepting new patients
The Toledo Hospital CurrentSince Aug 30, 2025 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. CurrentSince Sep 15, 2024 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients

Locations

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800

5700 Monroe St
Unit 211A
Sylvania, OH 43560
Phone (567) 585-0490

5700 Monroe St
Unit 210
Sylvania, OH 43560
Phone (419) 291-1456

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1003140575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 CLOISTER RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172206",
            "telephone_number": "567-298-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 CLOISTER RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172206",
            "telephone_number": "567-298-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAFOLAHAN",
        "first_name": "TEARRA",
        "middle_name": "BREEZE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.