Adetutu Owolabi, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2309251 Issued in MA

Practice address

200 May St
South Attleboro, MA 02703-5520

Phone

(508) 761-8500

NPI assigned

Dec 30, 2022

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Hri Hospital, Inc

  dba HRI Hospital

  • Psychiatric Hospital
  • Brookline, MA
  • NPI 1518938174
  Medicare reassignment NPD
• Uhs of Fuller Inc

  dba Fuller Hospital

  • Psychiatric Hospital
  • S Attleboro, MA
  • NPI 1316917222

  Psychiatric/Mental Health

  Medicare reassignment NPD
• The Edinburg Center Inc

  • Psychiatry Physician
  • Bedford, MA
  • NPI 1073617353

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1164135570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PARAGON RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021325127",
            "telephone_number": "617-755-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAY ST",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027035520",
            "telephone_number": "508-761-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOLABI",
        "first_name": "ADETUTU",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2309251",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "RN2309251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Avenue",
            "affiliation": "N",
            "endpointDescription": "Medication orders",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 May St",
            "city": "South Attleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027035520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Morning Star Counseling
• Gina Mosunic
• Natiella, Inc (Pearle Vision Center)
• New England Family Dentistry, PC (Children and Family Dentistry of South Attleboro)
• New England Vision Care,P.C.
• Suvasini A Pandit, M.D.
• Shira Pascal
• Heidi Habicht Peterson, M.D.
• James Michael Phelan, D.M.D.
• Shashikala R Prabhu, M.D.

• Psychiatric/Mental Health Nurse Practitioner in South Attleboro, MA
• Providers in South Attleboro, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.

Verify at the official NPI Registry.