Individual provider Active NPI

Oluwaseun Taiwo Akingbala

  • Registered Nurse
  • Brooklyn Park, MN
National Provider Identifier
1699648840
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2482233 Issued in MN
Practice address
6080 83Rd Pkwy N
Brooklyn Park, MN 55443-2002
Phone
(763) 267-3479
Fax
(213) 426-8087
NPI assigned
Sep 24, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2482233 MN Primary

Addresses

Primary practice location

6080 83Rd Pkwy N
Brooklyn Park, MN 55443-2002

Mailing address

6080 83Rd Pkwy N
Brooklyn Park, MN 55443-2002
Phone (763) 267-3479

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2482233MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1699648840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 83RD PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432002",
            "telephone_number": "763-267-3479",
            "fax_number": "213-426-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 83RD PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432002",
            "telephone_number": "763-267-3479",
            "fax_number": "213-426-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINGBALA",
        "first_name": "OLUWASEUN",
        "middle_name": "TAIWO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2482233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.