Individual provider Active NPI

Bushirat Adeola Elegbede

  • Gerontology Registered Nurse
  • Norfolk, VA
National Provider Identifier
1255249348
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
0001333112 Issued in VA
Practice address
3619 Cape Henry Ave
Norfolk, VA 23513-4550
Phone
(757) 698-8091
Fax
(757) 698-8091
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 0001333112 VA Primary

Addresses

Primary practice location

3619 Cape Henry Ave
Norfolk, VA 23513-4550

Mailing address

3619 Cape Henry Ave
Norfolk, VA 23513-4550
Phone (757) 698-8091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1255249348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 CAPE HENRY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134550",
            "telephone_number": "757-698-8091",
            "fax_number": "757-698-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 CAPE HENRY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134550",
            "telephone_number": "757-698-8091",
            "fax_number": "757-698-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEGBEDE",
        "first_name": "BUSHIRAT",
        "middle_name": "ADEOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "VA",
            "license": "0001333112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.