Afusat T Olomada, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020624 Issued in IL

Practice address

8835 S Clyde Ave
Chicago, IL 60617-2904

Phone

(773) 544-0551

NPI assigned

Feb 18, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

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.

• Roseland Community Hospital Association

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1306029889
  Medicare reassignment

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1265065312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 S CLYDE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172904",
            "telephone_number": "773-544-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 S CLYDE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172904",
            "telephone_number": "773-544-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOMADA",
        "first_name": "AFUSAT",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CODE",
            "identifier": "3299",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Chicago",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Chicago",
            "address_1": "8835 S Clyde Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606172904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joan Annette Ollie, NURSE PRACTITIONER
• Melissa Olloway
• Melissa Olmos, PT
• Abigail Kate Olmstead, MS, RD, LDN
• Sheila M Oloffsson, M.S., CCC-A
• Olomi Dental, P.C.
• Haroon Olomi, M. D.
• Jamil Olomi, DMD
• Christopher O Olopade
• Olufunmilayo Olopade

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.