Active NPI
Tearra Breeze Obafolahan, APRN
- Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.0036369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Promedica Monroe Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0036369 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Physicians of Northwest Ohio LLC | Current | 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 | Current | Accepting new patients | |
| Promedica Multi Specialty Physicians | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Emergency Physicians of Northwest Ohio Inc. | Current | 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.
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
-
- Family Medicine Physician
- Toledo, OH
- NPI 1306105150
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1043274418
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Clinical Psychologist
- Toledo, OH
- NPI 1083843031
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740217678
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.