Olufunke Elizabeth Fadahunsi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F04230445 Issued in NV

Practice address

3835 S Jones Blvd
Las Vegas, NV 89103-7125

Phone

(702) 880-4193

NPI assigned

May 2, 2023

Sex

Female

Sole proprietor

No

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 NV

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Oasis LLC

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1447009055
  Medicare reassignment NPD Authorized official
• Las Vegas Pain Institute and Medical Center, LLC

  dba Las Vegas Pain Institute and Medical Center

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1659431443
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NV

  Medicare reassignment NPD
• Spring Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1154481984
  NPD
• Comprehensive Urgent Care

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1578478673
  NPD (past)
• Henry Ford Maplegrove Center

  dba Henry Ford Health System

  • Children's Substance Abuse Rehabilitation Facility
  • West Bloomfield, MI
  • NPI 1295767630
  NPD (past)

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1548959075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037125",
            "telephone_number": "702-880-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037125",
            "telephone_number": "702-880-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADAHUNSI",
        "first_name": "OLUFUNKE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "814483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "F04230445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Anita Facholas, M.A.
• John F Facinoli, D.O.
• Brady Cord Fackrell, PA-C
• Faculty Physicians and Surgeons of Llusm
• Sharon Lee Facundus
• Faddis Dentists of North Las Vegas, PC (Dentists of North Las Vegas)
• Spencer J Faddis, DDS
• Michel Fadel
• David M Fadell, D.O.
• Emelita Faeldonea

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
• 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.