Individual provider Active NPI

Adetutu Dupe Olatawura, MSN, RN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1649048786
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95028268 Issued in CA
Practice address
601 S Westmoreland Ave
Los Angeles, CA 90005-3902
Phone
(213) 738-7283
Fax
(909) 494-7684
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95159863 CA
Nurse Practitioner 363L00000X 95028268 CA
Women's Health Nurse Practitioner 363LW0102X 95028268 CA Primary

Addresses

Primary practice location

601 S Westmoreland Ave
Los Angeles, CA 90005-3902

Mailing address

601 S Westmoreland Ave
Los Angeles, CA 90005-3902
Phone (213) 738-7283

Other identifiers 3

IdentifierTypeStateIssuer
95028268OtherCANURSE PRACTITIONER LICENSE NUMBER
95028268OtherCANURSE PRACTITIONER FURNISHING LICENSE NUMBER
95159863OtherCAREGISTERED NURSE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95159863CAMDRegistered Nurse
95028268CAMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: adetutu.olatawuranp.p1@direct.fpawomenshealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1649048786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S WESTMORELAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053902",
            "telephone_number": "213-738-7283",
            "fax_number": "909-494-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S WESTMORELAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053902",
            "telephone_number": "213-738-7283",
            "fax_number": "909-494-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATAWURA",
        "first_name": "ADETUTU",
        "middle_name": "DUPE",
        "credential": "MSN, RN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95159863",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028268",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95028268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "95028268",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER FURNISHING LICENSE NUMBER",
            "identifier": "95028268",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE NUMBER",
            "identifier": "95159863",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.