Individual provider Active NPI

Oluseyi G Abioye-Akanji, DNP

  • Family Nurse Practitioner
  • North Providence, RI
National Provider Identifier
1710309349
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN01379 Issued in RI
Practice address
1515 Smith St Ste a
North Providence, RI 02911-2947
Phone
(401) 490-9550
Fax
(401) 490-9221
NPI assigned
Jan 16, 2014
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP37826 RI
Family Nurse Practitioner 363LF0000X APRN01379 RI Primary

Addresses

Primary practice location

1515 Smith St Ste a
North Providence, RI 02911-2947

Mailing address

1515 Smith St Ste a
North Providence, RI 02911-2947
Phone (401) 490-9550

Other names 1

  • Oluseyi Abioye Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20150304000455 RI Practitioner - Nurse Practitioner 9931425212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 Smith St
Suite a
North Providence, RI 02911-2947
Phone (401) 490-9550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN01379RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Center LLC CurrentSince May 1, 2022 Accepting new patients
Renaissance Medical Group PastSince Aug 1, 2016 Accepting new patients

Locations

1515 Smith St
Ste A
Providence, RI 02911
Phone (401) 490-9550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1710309349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SMITH ST STE A",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112947",
            "telephone_number": "401-490-9550",
            "fax_number": "401-490-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SMITH ST STE A",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112947",
            "telephone_number": "401-490-9550",
            "fax_number": "401-490-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIOYE-AKANJI",
        "first_name": "OLUSEYI",
        "middle_name": "G",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP37826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUSEYI",
            "last_name": "ABIOYE",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.