Individual provider Active NPI

Emmanuella Nnenna Olaiya, CRNP

  • Women's Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1174872220
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
LH-0000204 Issued in DE
Practice address
701 N Clayton St
Ste 505 Mob
Wilmington, DE 19805-3165
Phone
(302) 421-4775
Fax
(302) 421-4777
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X L1-0044198 DE
Oncology Registered Nurse 163WX0200X RN575222 PA
Women's Health Nurse Practitioner 363LW0102X SP012353 PA
Women's Health Nurse Practitioner 363LW0102X LH-0000204 DE Primary

Addresses

Primary practice location

701 N Clayton St
Ste 505 Mob
Wilmington, DE 19805-3165

Mailing address

PO Box 824804
Philadelphia, PA 19182-4804
Phone (302) 421-4775

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emmanuellaolaiya@sffp.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20150226002222 DE Practitioner - Nurse Practitioner 4587813605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

621 Middletown Odessa Rd
Middletown, DE 19709-9602
Phone (302) 203-2260

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0044198DEMDAmbulatory Women's Health Care Registered Nurse
RN575222PAMDOncology Registered Nurse
LH-0000204DEMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 7, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 7, 2022 Accepting new patients
St Francis Hospital Inc PastSince Nov 22, 2014 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

621 Middletown Odessa Rd
Middletown, DE 19709
Phone (302) 203-1300

4755 Ogletown Stanton Rd
Ste 1900
Newark, DE 19718
Phone (302) 733-6510

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1174872220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824804",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824804",
            "telephone_number": "302-421-4775",
            "fax_number": "302-421-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CLAYTON ST",
            "address_2": "STE 505 MOB",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165",
            "telephone_number": "302-421-4775",
            "fax_number": "302-421-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAIYA",
        "first_name": "EMMANUELLA",
        "middle_name": "NNENNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "DE",
            "license": "L1-0044198",
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "PA",
            "license": "RN575222",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP012353",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DE",
            "license": "LH-0000204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emmanuellaolaiya@sffp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "St. Francis Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "701 N Clayton St",
            "address_2": "Ste 505 MOB",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198053165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.