Individual provider Active NPI

Ibukun Oluwatosin Ojifinni, ARNP

  • Nurse Practitioner
  • Rock Springs, WY
National Provider Identifier
1316449275
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
38524.1714 Issued in WY
Practice address
2620 Commercial Way Ste 120
Rock Springs, WY 82901-4746
Phone
(307) 362-5116
Fax
(307) 362-5145
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 38524.1714 WY Primary

Addresses

Primary practice location

2620 Commercial Way Ste 120
Rock Springs, WY 82901-4746

Mailing address

PO Box 2148
Rock Springs, WY 82902-2148
Phone (307) 362-5116

Other names 1

  • Ibukun Oluwatosin Fatokun Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
38524.1714WYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Frontier Imaging, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1316449275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2148",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829022148",
            "telephone_number": "307-362-5116",
            "fax_number": "307-362-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 120",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014746",
            "telephone_number": "307-362-5116",
            "fax_number": "307-362-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJIFINNI",
        "first_name": "IBUKUN",
        "middle_name": "OLUWATOSIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "38524.1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IBUKUN",
            "last_name": "FATOKUN",
            "middle_name": "OLUWATOSIN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.