Individual provider Active NPI

Bolanle Olabisi Arowogbola, FNP -C

  • Family Nurse Practitioner
  • Rosenberg, TX
National Provider Identifier
1093576605
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1141223 Issued in TX
Practice address
2122 Moss Bluff LN
Rosenberg, TX 77471-5238
Phone
(215) 609-5527
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1141223 TX Primary

Addresses

Primary practice location

2122 Moss Bluff LN
Rosenberg, TX 77471-5238

Mailing address

2122 Moss Bluff LN
Rosenberg, TX 77471-5238
Phone (215) 609-5527

Other names 1

  • Bolanle Olabisi Afolabi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1141223TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1093576605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 MOSS BLUFF LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715238",
            "telephone_number": "215-609-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 MOSS BLUFF LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715238",
            "telephone_number": "215-609-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROWOGBOLA",
        "first_name": "BOLANLE",
        "middle_name": "OLABISI",
        "credential": "FNP -C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1141223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOLANLE",
            "last_name": "AFOLABI",
            "middle_name": "OLABISI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.