Olufemi Awoyomi, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4797 Issued in WI

Practice address

N3150 Hwy 81
Monroe, WI 53566-9397

Phone

(608) 325-2171

NPI assigned

Sep 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Buckner Retirement Services IncGroup PAC ID 5193637007, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Buckner Retirement Services, Inc.

  • Assisted Living Facility
  • Austin, TX
  • NPI 1841301868

  Speech-Language Pathologist, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1366093346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S GARFIELD ST APT 107",
            "city": "MONTICELLO",
            "state": "WI",
            "postal_code": "535709617",
            "telephone_number": "608-575-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3150 HWY 81",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535669397",
            "telephone_number": "608-325-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 E Catherine St",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "WI",
            "postal_code": "535301330",
            "country_code": "US",
            "telephone_number": "608-776-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 S Garfield St Apt 107",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "WI",
            "postal_code": "535709617",
            "country_code": "US",
            "telephone_number": "608-575-8976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOYOMI",
        "first_name": "OLUFEMI",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-22",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Avenues Counseling, LLC
• Justin Avigliano, DO
• Anthony John Baltierra, LAT, ATC
• Jack G Barkin
• Renee Linda Barta, OTR
• Julie C Bartell, PHARMD
• Madeline Anne Bartelt, LPC

• Speech-Language Pathologist in Monroe, WI
• Providers in Monroe, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.