Individual provider Active NPI

Oluwakemi Olotu, NP

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1730732314
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN237425 Issued in MA
Practice address
732 Harrison Ave, FL 3 West
Preston BLDG.
Boston, MA 02118
Phone
(617) 638-7350
Fax
(617) 638-7228
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN237425 MA
Family Nurse Practitioner 363LF0000X RN237425 MA Primary

Addresses

Primary practice location

732 Harrison Ave, FL 3 West
Preston BLDG.
Boston, MA 02118

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oluwakemi.olotu@bmc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20201019001933 MA Practitioner - Nurse Practitioner 0143640821 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Boston University General Surgical Associates, Inc. CurrentSince Sep 14, 2020 Accepting new patients
Boston University General Surgical Associates, Inc.-QMC CurrentSince Sep 14, 2020 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840

732 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 638-5350

Interoperability endpoints

  • Direct secure messaging: oolotu7981@direct.bmc.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1730732314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HARRISON AVE, FL 3 WEST",
            "address_2": "PRESTON BLDG.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-7350",
            "fax_number": "617-638-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOTU",
        "first_name": "OLUWAKEMI",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN237425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN237425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oluwakemi.olotu@bmc.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "391 Hyde Park Ave Apt 204",
            "city": "Roslindale",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021312166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.