Oluyemisi Oludoyin Adebayo, APN/CNM/NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.014165 Issued in IL

Practice address

101 Iliad Dr
Tinley Park, IL 60477-4840

Phone

(708) 704-0847

NPI assigned

Jul 20, 2006

Last updated

May 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Oluyemisi Oludoyin Adebayo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• His Grace Enterprise,Inc

  dba His Grace Home Healthcare,Inc.

  • Home Health Agency
  • Park Forest, IL
  • NPI 1235160987
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1629098009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ILIAD DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774840",
            "telephone_number": "708-704-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ILIAD DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774840",
            "telephone_number": "708-704-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAYO",
        "first_name": "OLUYEMISI",
        "middle_name": "OLUDOYIN",
        "name_prefix": "Ms.",
        "credential": "APN/CNM/NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209004866",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUYEMISI",
            "last_name": "ADEBAYO",
            "middle_name": "OLUDOYIN",
            "prefix": "DR.",
            "credential": "APN/NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Access Plus Inc
• Accord Home Health Services, Inc.
• Accredited Foot Surgeons LTD
• Mallak Adawi
• Katherine F Addison, OTR/L
• Adjusted HP, PLLC
• Mariya Adlington
• Advanced Orthopedic and Spine Care SC
• Advocate Health Care
• Advocate Southwest Ambulatory Surgery Center LLC (Tinley Woods Surgery Center)

• Family Nurse Practitioner in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.