Active NPI
Taiwo Iyabo Adebayo, N.P
- Primary Care Nurse Practitioner
- Peebles, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- A.P.R.N.0030333
- Practice address
- 154 Elliott Ave
Peebles, OH 45660-1028 - Phone
- (937) 587-2618
- NPI assigned
- Dec 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | A.P.R.N.0030333 | OH | Primary |
Addresses
Primary practice location
154 Elliott Ave
Peebles, OH 45660-1028
Mailing address
154 Elliott Ave
Peebles, OH 45660-1028
Phone (937) 587-2618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.P.R.N.0030333 | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Medical Associates Inc | Current | Accepting new patients | |
| On Time Urgent Care LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients |
Locations
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
441 Norton Rd
Columbus, OH 43228
Phone (614) 794-8800
2977 W Broad St
Columbus, OH 43204
Phone (614) 275-3031
5700 Karl Rd
Columbus, OH 43229
Phone (614) 846-5420
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Blacklick, OH
- NPI 1619691177
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638576000000",
"number": "1366100554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 ELLIOTT AVE",
"city": "PEEBLES",
"state": "OH",
"postal_code": "456601028",
"telephone_number": "937-587-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 ELLIOTT AVE",
"city": "PEEBLES",
"state": "OH",
"postal_code": "456601028",
"telephone_number": "937-587-2618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEBAYO",
"first_name": "TAIWO",
"middle_name": "IYABO",
"credential": "N.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-04",
"last_updated": "2021-12-04",
"certification_date": "2021-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "A.P.R.N.0030333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peebles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.