Oluwatobi Ayegbusi

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704434528 Issued in MI

Practice address

46205 Boardman Dr Apt 102
Shelby Township, MI 48315-5540

Phone

(513) 356-3845

NPI assigned

Dec 31, 2025

Last updated

Dec 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1114883477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46205 BOARDMAN DR APT 102",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46205 BOARDMAN DR APT 102",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155540",
            "telephone_number": "513-356-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYEGBUSI",
        "first_name": "OLUWATOBI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704434528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.