Olurotimi I Olugbode

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

598 Charles St Apt 1
Providence, RI 02904-1359

Phone

(401) 516-3475

Fax

(401) 516-3475

NPI assigned

Oct 30, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1518836493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 CHARLES ST APT 1",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041359",
            "telephone_number": "401-516-3475",
            "fax_number": "401-516-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 CHARLES ST APT 1",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041359",
            "telephone_number": "401-516-3475",
            "fax_number": "401-516-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUGBODE",
        "first_name": "OLUROTIMI",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abiodun Fola Olonilua
• Katherine Ellen Olsen, MS,PT
• Lori A Olson, PTA
• Sara Ann Olson, DPT
• Adam Jan Olszewski, M.D.
• Aminat Olupona
• Oyinlola J Oluwo
• Om Therapy
• Abdifatah Omar, MD
• Mohamed Salah Omer, MD

• Community Health Worker in Providence, RI
• Providers in Providence, RI by specialty
• Community Health Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.