Oluwatoba Samuel Ogundipe, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2518860 Issued in MN

Practice address

1806 Grove Dr
Shakopee, MN 55379-8517

Phone

(952) 215-5356

NPI assigned

Jan 23, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1528829876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 GROVE DR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798517",
            "telephone_number": "952-215-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 GROVE DR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798517",
            "telephone_number": "952-215-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDIPE",
        "first_name": "OLUWATOBA",
        "middle_name": "SAMUEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2518860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthias Samuel Oawster, DPT
• Occupational Health Centers of Minnesota PC
• Emmanuel Odeng-Otu, PHARM. D.
• Debra Ofallon, MA
• Chinonye Ofei
• Heidi Jo Whipple Ohlmann
• Mark Ohlmann, PT
• Emmanuella Ojo
• Fredrick Kirochi Okari
• Kristin Oliver, LPN

• Home Health Registered Nurse in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.