Abisola Onashile

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61070374 Issued in WA

Practice address

1106 Columbia Ave Ste 125
Marysville, WA 98270-4343

Phone

(360) 200-1696

Fax

(360) 972-7269

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Grace Health Clinic and Urgent Care LLC

  • Primary Care Clinic/Center
  • Marysville, WA
  • NPI 1083465728
  NPD Authorized official
• Grace Health Clinic and Urgent Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marysville, WA
  • NPI 1255182994
  NPD Authorized official
• Pure Grace Health Clinic and Urgent Care LLC

  • Family Nurse Practitioner
  • Marysville, WA
  • NPI 1881416212

  Family

  NPD Authorized official

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1750879565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA AVE STE 125",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704343",
            "telephone_number": "360-200-1696",
            "fax_number": "360-972-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA AVE STE 125",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704343",
            "telephone_number": "360-200-1696",
            "fax_number": "360-972-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONASHILE",
        "first_name": "ABISOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61070374",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61070374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36179890",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronnie Okialda, PNP
• George Omwange Okuro, BSN-RN
• Olufunke Okusanya, PHARMD
• Janet Amenisomi Oladipo, PMHNP
• Serban A Olaru, DMD
• Optum Care Washington PLLC
• Optum Care Washington PLLC
• Optum Care Washington PLLC
• Optum Care Washington PLLC
• Optum Care Washington PLLC

• All providers in Marysville, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.