Bosede Ogidan-Obadina, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

224735 Issued in AZ

Practice address

2451 S Avenue a Ste A104
Yuma, AZ 85364-7189

Phone

(928) 336-2165

Fax

(928) 336-2174

NPI assigned

Jun 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ

  Medicare reassignment NPD
• Crosvic Health and Wellness LLC

  • Home Health Agency
  • Avondale, AZ
  • NPI 1205634045
  NPD

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1356833784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647170",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S AVENUE A STE A104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647189",
            "telephone_number": "928-336-2165",
            "fax_number": "928-336-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGIDAN-OBADINA",
        "first_name": "BOSEDE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP137658",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "224735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocotillo Dental Associates LLC
• Kathy Odaffer, RN
• Felicia Owokonu Odo, NP
• Olugbenga Solomon Oduyale, RPH
• Emeka O. Ofobike, MD
• Robert Arthur Ogie
• Bernice Ogola, PMHNP
• Celestine Ihekaonye Ogwu, MD
• Jules Ohrin-Greipp, ED.M., NCSP
• Nohemi L Ojeda, RDH

• Gerontology Nurse Practitioner in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.