Oreoluwatomi Agbaje, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209026038 Issued in IL

Practice address

2707 N Halsted St Ste 1
Chicago, IL 60614-0877

Phone

(773) 699-4924

NPI assigned

Dec 29, 2022

Last updated

Dec 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Onward Nursing Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1114715471
  Medicare reassignment NPD Authorized official
• Elemental Center LTD.

  • Psychiatry Physician
  • Orland Park, IL
  • NPI 1033410477
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, Psychiatric/Mental Health

  Medicare reassignment NPD
• Martins Adeoye, LLC

  dba Martins A Adeoye, MD

  • Child & Adolescent Psychiatry Physician
  • Orland Park, IL
  • NPI 1295736635
  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1700599248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 N HALSTED ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140877",
            "telephone_number": "773-699-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 N HALSTED ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140877",
            "telephone_number": "773-699-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBAJE",
        "first_name": "OREOLUWATOMI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke William Agase, PA-C
• Agate Psychotherapy
• Taylor N Agate, PA-C
• Agave Studio for Psychotherapy and Spiritual Direction
• Agave Studio, LLC
• Prince Amechi Agbakahi, MD
• Aira Louise Padua Agbayani
• Theodore Lord Agbemaple, MD
• Chinwike T Agbo, MD
• Alisha Agbonghae, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.