Omotayo Omolara Idowu, FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28276040 Issued in IN

Practice address

11476 Austin St
Osceola, IN 46561-9700

Phone

(574) 318-5517

NPI assigned

Jun 30, 2026

Last updated

Jul 21, 2026By 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

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1144147455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N 3RD ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287100",
            "telephone_number": "574-500-3737",
            "fax_number": "574-534-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11476 AUSTIN ST",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465619700",
            "telephone_number": "574-318-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "OMOTAYO",
        "middle_name": "OMOLARA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28276040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Henderson, IBCLC
• Angelina Marie Hernandez, MS. ED.
• Larissa Hertzberg, LMHCA
• Elizabeth Lorna Ann Hlabse, LMHCA
• Grace Hultquist, IBCLC
• Phillip A Jakubowicz, D.D.S.
• Michelle Jones
• Jubilant Healthcare Agency (Jubilant and Joining Hands)
• Patrick Alan Kennedy, LMHCA
• Cari Michelle Kinsman, MA CCC-SLP

• Registered Nurse in Osceola, IN
• Providers in Osceola, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.