Omolola Olusola Olukanni

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN. 143986-M-IV Issued in OH

Practice address

6396 Peardale Rd E
Columbus, OH 43229-2036

Phone

(844) 979-1685

Fax

(844) 943-1160

NPI assigned

Sep 7, 2014

Sex

Female

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

State licenses

Practice roles

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.

• Rhearts LLC

  • Developmentally Disabled Services Day Training Agency
  • Columbus, OH
  • NPI 1710752878
  NPD Authorized official

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1588065890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6396 PEARDALE RD E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292036",
            "telephone_number": "844-979-1685",
            "fax_number": "844-943-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 PEARDALE RD E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292036",
            "telephone_number": "844-979-1685",
            "fax_number": "844-943-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUKANNI",
        "first_name": "OMOLOLA",
        "middle_name": "OLUSOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-07",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 143986-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Olson
• Zachary Olson
• Kristi Marie Oltorik, CRNA
• Olubumi J Jones
• Abisoye Olusola Olubusola
• Oluwabukolami Olurode
• Oluyinka O. Olutoye, MD
• Miriam A Oluwakemi
• Dupe Esther Oluwamuyide
• Lauren Elizabeth Olverson

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.