Individual provider Active NPI

Omodesola Grace Elusoji

  • Registered Nurse
  • Columbus, OH
National Provider Identifier
1316856560
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
556230 Issued in OH
Practice address
4359 Honeywood CT
Columbus, OH 43228-3472
Phone
(614) 816-3072
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 556230 OH Primary

Addresses

Primary practice location

4359 Honeywood CT
Columbus, OH 43228-3472

Mailing address

4359 Honeywood CT
Columbus, OH 43228-3472
Phone (312) 459-3902

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": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1316856560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 HONEYWOOD CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283472",
            "telephone_number": "312-459-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 HONEYWOOD CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283472",
            "telephone_number": "614-816-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELUSOJI",
        "first_name": "OMODESOLA",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "556230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.