Ebunoluwa Abimbola, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

900238 Issued in NC

Practice address

320 Boulevard St
High Point, NC 27262-3802

Phone

(336) 878-6226

Fax

(336) 878-6272

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1215069638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN",
            "address_2": "STE. 207C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-883-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOULEVARD ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623802",
            "telephone_number": "336-878-6226",
            "fax_number": "336-878-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIMBOLA",
        "first_name": "EBUNOLUWA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Wing and a Prayer LLC
• Ben Aalbers
• Caela A Abdelgayed, RN
• Izhar Abdullah
• Traci Michela Abernethy, LCSW
• Hala M Abutineh, BDS
• Accelerated Sleep Resources, Inc.
• Joseph Anthony Accetta, PA-C
• Kimberly R Acorn, RN
• Acp Home Care Services LLC

• Adult Health Nurse Practitioner in High Point, NC
• Providers in High Point, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.