Individual provider Active NPI

Fehintola Olubori

  • Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1720968787
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022866 Issued in NC
Practice address
3031 Tate Blvd SE
Hickory, NC 28602-1455
Phone
(443) 383-9300
NPI assigned
Sep 2, 2025
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5022866 NC Primary

Addresses

Primary practice location

3031 Tate Blvd SE
Hickory, NC 28602-1455

Mailing address

6222 Ohaus CT
Charlotte, NC 28216-8836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20251015002309 NC Practitioner - Nurse Practitioner 8729575535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17177 N Laurel Park Dr
Suite 430
Livonia, MI 48152-3938

6222 Ohaus CT
Charlotte, NC 28216-8836

909 Ridgebrook Rd
Suite 300
Sparks, MD 21152-9474

PO Box
Chicago, IL 60674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Oct 1, 2025 Accepting new patients
Chma of NC CurrentSince Aug 25, 2025 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

4037 E Independence Blvd
Ste 100
Charlotte, NC 28205
Phone (267) 239-6447

6047 Tyvola Glen Cir
Charlotte, NC 28217
Phone (203) 238-7754

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1720968787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 OHAUS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021455",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUBORI",
        "first_name": "FEHINTOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.